FORM 1023-EZ for BURLY CARES

Field Data
EIN 84-2171571
Case Number EO-2020150-000155
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BURLY CARES
Organization’s Mailing Address 11180 FORT VASQUEZ STREET
City LAS VEGAS
State NV
ZIP 89179
Accounting period End 12
Primary contact name ELLIS M CARTER ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE CASTELLONE
CEO & DIRECTOR
11180 FORT VASQUEZ STREET
LAS VEGAS NV 89179

Officer/Director/Trustee Two

MIRANDA JUDITH SMITH
PRESIDENT & DIRECTOR
11180 FORT VASQUEZ STREET
LAS VEGAS NV 89179

Officer/Director/Trustee Three

KINA FOSTER THEIVAGT
SECRETARY & DIRECTOR
11180 FORT VASQUEZ STREET
LAS VEGAS NV 89179

Officer/Director/Trustee Four

ILISSA MARIE MAYROSE
TREASURER & DIRECTOR
11180 FORT VASQUEZ STREET
LAS VEGAS NV 89179

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2019
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
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 Yes
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 STEPHANIE CASTELLONE
Signature Title CEO & DIRECTOR
Signature Date 5/27/2020

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