FORM 1023-EZ for HAYS CARE

Field Data
EIN 85-0697221
Case Number EO-2020174-000541
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAYS CARE
Organization’s Mailing Address 118 TRADEMARK DRIVE
City BUDA
State TX
ZIP 78610
Accounting period End 12
Primary contact name JAMES JACOB SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES JACOBS I
EXECUTIVE DIRECTOR
118 TRADEMARK DRIVE
BUDA TX 78610

Officer/Director/Trustee Two

ANGELICA FADDIS
BOARD SECRETARY
215 ENDEAVOUR
KYLE TX 78640

Officer/Director/Trustee Three

JAMES JACOBS II
BOARD CHAIR
4843 PRESERVER CREEK CT
SPRING TX 77389

Officer/Director/Trustee Four

ERINN FLEEKS
BOARD TREASURER
11212 WESTPARK DRIVE APT 1033
HOUSTON TX 77042

Organization’s website WWW.HAYSCARES.ORG
Organization’s email PASTORJ@WORDOFLIFEKYLE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 JAMES JACOBS I
Signature Title EXECUTIVE DIRECTOR
Signature Date 6/18/2020

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