FORM 1023-EZ for CAMRYN CARES INC

Field Data
EIN 81-4667025
Case Number EO-2017320-000325
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMRYN CARES INC
Organization’s Mailing Address 22262 CIVIC CENTER DR APT -112
City SOUTHFIELD
State MI
ZIP 48033
Accounting period End 12
Primary contact name ASHLEY SIMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASHLEY SIMS
PRESIDENT
22262 CIVIC CENTER DR APT 112
SOUTHFIELD MI 48033

Officer/Director/Trustee Two

ASIA TENN
VICE PRESIDENT
22262 CIVIC CENTER DR APT 112
SOUTHFIELD MI 48033

Officer/Director/Trustee Three

CAMRYN SIMS
DIRECTOR
22262 CIVIC CENTER DR APT-112
SOUTHFIELD MI 48033

Officer/Director/Trustee Four

JERRELL BARNETT
DIRECTOR
22262 CIVIC CENTER DR APT -112
SOUTHFIELD MI 48033

Officer/Director/Trustee Five

JOYCE BARNETT
DIRECTOR/SECRETARY
22262 CIVIC CENTER DR APT-112
SOUTHFIELD MI 48033

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 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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