FORM 1023-EZ for FAMILY CARE ANGELS INC

Field Data
EIN 82-1901809
Case Number EO-2018057-000321
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAMILY CARE ANGELS INC
Organization’s Mailing Address 1739 PEMISCOT STREET
City CAPE GIRARDEAU
State MO
ZIP 63701
Accounting period End 12
Primary contact name MEA TRIPLETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEA TRIPLETT
PRESIDENT
1739 PEMISCOT STREET
CAPE GIRARDEAU MO 63701-9

Officer/Director/Trustee Two

JAMIE NICHOLS
SECRETARY
2817 LUCE ST UNIT A
CAPE GIRARDEAU MO 63701

Officer/Director/Trustee Three

SARELLA DORN
TREASURER
4552 GLENDAS MEADOW DR
JACKSONVILLE FL 32210

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/17
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 Yes
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 MEA TRIPLETT
Signature Title PRESIDENT
Signature Date 2/22/18

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