FORM 1023-EZ for ELDER CARE COMMUNITY FOR HOME CARESERVICE

Field Data
EIN 47-4963356
Case Number EO-2018247-000777
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELDER CARE COMMUNITY FOR HOME CARESERVICE
Organization’s Mailing Address 193 BAY 40TH ST
City BROOKLYN
State NY
ZIP 11214
Accounting period End 12
Primary contact name JASON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YUE HUAI CHEN
CEO
193 BAY 40TH ST
BROOKLYN NY 11214-5418

Officer/Director/Trustee Two

ERICK MELGAR
DIRECTOR OF DEVELOPMENT
169 BAY 28TH STREET
BROOKLYN NY 11214-5418

Officer/Director/Trustee Three

WENDY HUANG
DIRECTOR OF OPERATIONS
2130 1ST AVE
NEW YORK NY 10029-3325

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/15
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
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 Yes
Correctness Declaration Yes
Signature Name YUE HUAI CHEN
Signature Title CEO
Signature Date 9/1/18
EIN 47-4963356
Case Number EO-2018247-000777
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELDER CARE COMMUNITY FOR HOME CARE SERVICE
Organization’s Mailing Address 193 BAY 40TH ST
City BROOKLYN
State NY
ZIP 11214
Accounting period End 12
Primary contact name JASON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YUE HUAI CHEN
CEO
193 BAY 40TH ST
BROOKLYN NY 11214-5418

Officer/Director/Trustee Two

ERICK MELGAR
DIRECTOR OF DEVELOPMENT
169 BAY 28TH STREET
BROOKLYN NY 11214-5418

Officer/Director/Trustee Three

WENDY HUANG
DIRECTOR OF OPERATIONS
2130 1ST AVE
NEW YORK NY 10029-3325

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/15
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
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 Yes
Correctness Declaration Yes
Signature Name YUE HUAI CHEN
Signature Title CEO
Signature Date 9/1/18
EIN 47-4963356
Case Number EO-2017046-000078
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELDER CARE COMMUNITY FOR HOME CARE SERVICE
Organization’s Mailing Address 193 BAY 40TH ST
City BROOKLYN
State NY
ZIP 11214-5418
Accounting period End 12
Primary contact name JASON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YUE HUAI CHEN
CEO
193 BAY 40TH ST
BROOKLYN NY 11214-5418

Officer/Director/Trustee Two

ERICK MELGAR
DIRECTOR OF DEVELOPMENT
169 BAY 28TH STREET
BROOKLYN NY 11214-5418

Officer/Director/Trustee Three

WENDY HUANG
DIRECTOR OF OPERATIONS
2130 1ST AVE
NEW YORK NY 10029-3325

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
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
Signature Title
Signature Date

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