FORM 1023-EZ for FOUNTAIN CARES INCORPORATED
| Field | Data |
|---|---|
| EIN | 84-3191944 |
| Case Number | EO-2021043-000052 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | FOUNTAIN CARES INCORPORATED |
| Organization’s Mailing Address | 8838 SOUTH SECOND AVE |
| City | PHOENIX |
| State | AZ |
| ZIP | 85041 |
| Accounting period End | 12 |
| Primary contact name | MAYA RUSSELL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BERTRAND RUSSELL
PRESIDENT
1701 EAST SHEENA DRIVE
PHOENIX AZ 85022
Officer/Director/Trustee Two
MAYA RUSSELL
VICE PRESIDENT
3215 WEST LYNNE LANE
PHOENIX AZ 85041
Officer/Director/Trustee Three
ASHLEY HODGE
SECRETARY
343 EAST DOBBINS AVENUE
PHOENIX AZ 85042
Officer/Director/Trustee Four
CHARLETTA HORTON-HOUSTON
TREASURER
4420 NORTH FIFTY SEVENTH DRIVE
GLENDALE AZ 85306
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/27/2019 |
| Organization Incorporation State | AZ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P11 - Single Organization Support |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | MAYA RUSSELL |
| Signature Title | VICE PRESIDENT |
| Signature Date | 12/21/2020 |
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