FORM 1023-EZ for PH BALANCE CARES

Field Data
EIN 85-1329534
Case Number EO-2020196-000266
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PH BALANCE CARES
Organization’s Mailing Address 954 5THN AVENUE
City LONGMONT
State CO
ZIP 80501-5424
Accounting period End 12
Primary contact name BRANDON PEREA-HICKAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDON PEREA-HICKAM
FOUNDER
954 5TH AVENUE
LONGMONT CO 80501-5424

Organization’s website PHBALANCECARES.ORG
Organization’s email DRBRANDONPH@PHBALANCECARES.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2020
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 BRANDON PEREA-HICKAM
Signature Title FOUNDER
Signature Date 6/11/2020

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