FORM 1023-EZ for ASHLEY COUNTY CARES INC

Field Data
EIN 30-0606317
Case Number EO-2015314-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ASHLEY COUNTY CARES INC
Organization’s Mailing Address 415 E SERRETT STREET
City HAMBURG
State AR
ZIP 71646-8987
Accounting period End 12
Primary contact name DONNA SHIELDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONNA SHIELDS
PRESIDENT
415 E SERRETT STREET
HAMBURG AR 71646-8987

Officer/Director/Trustee Two

BERNICE NELMS
VICE PRESIDENT
PO BOX 366
HAMBURG AR 71646

Officer/Director/Trustee Three

INEZ BARNES
TREASURER
PO BOX 366
HAMBURG AR 71646

Officer/Director/Trustee Four

SARAH COPE
SECRETARY
PO BOX 366
HAMBURG AR 71646

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2006
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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