FORM 1023-EZ for CENTER FOR SELF CARE CSC
| Field | Data |
|---|---|
| EIN | 81-2597746 |
| Case Number | EO-2016190-000775 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CENTER FOR SELF CARE CSC |
| Organization’s Mailing Address | 936 AQUIDNECK AVE |
| City | MIDDLETOWN |
| State | RI |
| ZIP | 02842-7267 |
| Accounting period End | 4 |
| Primary contact name | TIFFANY BOURQUIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TIFFANY BOURQUIN
CHIEF EXECUTIVE OFFICER DIRECTOR
936 AQUIDNECK AVE
MIDDLETOWN RI 02842-7267
Officer/Director/Trustee Two
JOSEPH BOURQUIN
CHIEF FINANCIAL OFFICER DIRECTOR
936 AQUIDNECK AVE
MIDDLETOWN RI 02842-7267
Officer/Director/Trustee Three
MARCIA TRYON
VICE PRESIDENT DIRECTOR
936 AQUIDNECK AVE
MIDDLETOWN RI 02842-7267
| Organization’s website | WWW.CENTER4SELFCARE.ORG |
|---|---|
| Organization’s email | TIFFANYBOURQUIN@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/7/2016 |
| Organization Incorporation State | RI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | I72 - Child Abuse, Prevention of |
| Organization’s purpose | Charitable: No Religious: No Educational: No Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: Yes |
| 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 | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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