FORM 1023-EZ for FAMILY KEEPERS WITH EXTENDED CARE

Field Data
EIN 87-1251722
Case Number EO-2021183-000196
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAMILY KEEPERS WITH EXTENDED CARE
Organization’s Mailing Address PO BOX 13718
City WHITEHALL
State OH
ZIP 43213
Accounting period End 12
Primary contact name PAMELA FOSTER-GREAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA FOSTER-GREAR
EXECUTIVE DIRECTOR
PO BOX 13718
COLUMBUS OH 43213

Officer/Director/Trustee Two

MELVINA POWELL
SECRETARY
3061 ROTUNDA COURT NORTH
COLUMBUS OH 43232

Officer/Director/Trustee Three

CHRISTINA JACKSON
TREASURER
5320 E MAIN STREET SUITE 400
COLUMBUS OH 43213

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2021
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 Yes
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 PAMELA FOSTER-GREAR
Signature Title EXECUTIVE DIRECTOR
Signature Date 6/29/2021

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