FORM 1023-EZ for GLORY DAYS SENIOR CARE

Field Data
EIN 86-4003686
Case Number EO-2021144-000235
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GLORY DAYS SENIOR CARE
Organization’s Mailing Address 2224 E ENROSE ST
City MESA
State AZ
ZIP 85213
Accounting period End 4
Primary contact name CHELSEA KLEVE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHELSEA KLEVE
PRESIDENT
2224 E ENROSE ST
MESA AZ 85213

Officer/Director/Trustee Two

AMY TURNER
TREASURER
7002 W ORANGE DR
GLENDALE AZ 85303

Officer/Director/Trustee Three

BRITTANY MIRRASOUL
SECRETARY
297 N KENNETH PL
CHANDLER AZ 85226

Organization’s website GLORY-DAYS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2021
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P71 - Adult Daycare
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 Yes
Donation of funds Yes
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 CHELSEA KLEVE
Signature Title PRESIDENT
Signature Date 5/22/2021

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