FORM 1023-EZ for CLEAN CARE INC

Field Data
EIN 36-4989460
Case Number EO-2021237-000194
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLEAN CARE INC
Organization’s Mailing Address 1704 THE WOODS DRIVE
City EL CAJON
State CA
ZIP 92019
Accounting period End 12
Primary contact name RAFAEL RUIZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAFAEL RUIZ
PRESIDENT
1704 THE WOODS DRIVE
EL CAJON CA 92019

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 RAFAEL RUIZ
Signature Title PRESIDENT
Signature Date 8/23/2021

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