FORM 1023-EZ for MARYS SUPPORTIVE HOUSING INC

Field Data
EIN 86-2250778
Case Number EO-2021091-000749
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARYS SUPPORTIVE HOUSING INC
Organization’s Mailing Address 5513 W FOREST PARK AVE
City BALTIMORE
State MD
ZIP 21207
Accounting period End 12
Primary contact name JUSTIN BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN BROWN
FOUNDER
5513 W FOREST PARK AVE
BALTIMORE MD 21207

Officer/Director/Trustee Two

AMBER TAYLOR
DIRECTOR
3113 RHEIMS RD
BALTIMORE MD 21244

Officer/Director/Trustee Three

GAVIN PATTFORD
DIRECTOR
1432 DIVISION ST
BALTIMORE MD 21217

Officer/Director/Trustee Four

ASHLEY TAYLOR
DIRECTOR
972 SAINT AGNES LN
BALTIMORE MD 21207

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2021
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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 JUSTIN BROWN
Signature Title FOUNDER
Signature Date 2/24/2021

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