| Field | Data |
|---|---|
| EIN | 82-2030991 |
| Case Number | EO-2017193-000239 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | KELSEY CARES INC |
| Organization’s Mailing Address | 700 PARK AVE |
| City | LAKE PARK |
| State | FL |
| ZIP | 33403 |
| Accounting period End | 6 |
| Primary contact name | ADAM BROCKMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
ADAM BROCKMAN
PRESIDENT, DIRECTOR
3566 COSMOS ST
PALM BEACH GARDENS FL 33410
SHARON FELBER
SECRETARY, DIRECTOR
128 LEHANE TER STE 103
NORTH PALM BEACH FL 33418
BRANDON OLIASON
TREASURER, DIRECTOR
2086 BONISLE CIR
RIVIERA BEACH FL 33418
ANGEL ADAMS
DIRECTOR
498 W DREW ST STE B
LANTANA FL 33462
DOUG DODD
DIRECTOR
13010 60TH ST N
WEST PALM BEACH FL 33411
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/26/2017 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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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