FORM 1023-EZ for DC FAMILY HOME PROVIDERS INC

Field Data
EIN 47-2344863
Case Number EO-2014351-000084
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DC FAMILY HOME PROVIDERS INC
Organization’s Mailing Address 4862 JUST STREET NE
City WASHINGTON
State DC
ZIP 20019
Accounting period End 12
Primary contact name ALICE BURT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALICE BURT
TREASURER
5026 14TH STREET NE
WASHINGTON DC 20017

Officer/Director/Trustee Two

DIANE JACKSON
PRESIDENT
4962 JUST STREET NE
WASHINGTON DC 20019

Officer/Director/Trustee Three

PATRICIA BOBO
VICE PRESIDENT
707 ALABAMA AVENUE SE
WASHINGTON DC 20032

Officer/Director/Trustee Four

TERRI BOYD
SECRETARY
3457 25TH STREET SE
WASHINGTON DC 20020

Officer/Director/Trustee Five

GLORIA GREEN
DIRECTOR
1838 VALLEY TERRACE SE
WASHINGTON DC 20032

Organization’s website N/A
Organization’s email DCFAMILYHOMEPROVIDERSINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/2014
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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