FORM 1023-EZ for FOSTER FIRST-CARE

Field Data
EIN 83-3903567
Case Number EO-2019077-000428
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOSTER FIRST-CARE
Organization’s Mailing Address 1629 KNOTTS RUN ROAD
City RIPLEY
State WV
ZIP 25271
Accounting period End 12
Primary contact name DEBRA SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAYMOND COSSIN
PRESIDENT
389 SKYLINE VIEW DRIVE
RIPLEY WI 25271

Officer/Director/Trustee Two

JOANNA PHALEN
VICE PRESIDENT
62 POPLAR DRIVE
RIPLEY WV 25271

Officer/Director/Trustee Three

MARTHA NELSON
TREASURER
238 SKYLINE VIEW DRIVE
RIPLEY WV 25271

Officer/Director/Trustee Four

MICHELLE KERSEY
SECRETARY
203 SHAMBLIN RUN ROAD
GIVEN WV 25245

Officer/Director/Trustee Five

ROBERT BUMPUS
MEMBER
PO BOX 228
KENNA WV 25248

Organization’s website
Organization’s email FOSTERFIRSTCARE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/19
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P32 - Foster Care
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RAYMOND COSSIN
Signature Title PRESIDENT
Signature Date 3/14/19

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