FORM 1023-EZ for DIVINE 180 RESIDENTIAL SERVICES INC

Field Data
EIN 84-2303890
Case Number EO-2019252-000386
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIVINE 180 RESIDENTIAL SERVICES INC
Organization’s Mailing Address 2856 LOSANTIVILLE AVENUE
City CINCINNATI
State OH
ZIP 45213
Accounting period End 12
Primary contact name ARIEANNA RICHARDSON-HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARIEANNA RICHARDSON-HILL
BOARD MEMBER
2856 LOSANTIVILLE AVENUE
CINCINNATI OH 45213

Officer/Director/Trustee Two

LAUREN TODD
BOARD MEMBER
5217 HORIZIONVUE DRIVE
CINCINNATI OH 45239

Officer/Director/Trustee Three

YASMINE CARUTHERS
BOARD MEMBER
4151 GOLDEN EAGLE DRIVE
INDIANAPOLIS IN 46234

Officer/Director/Trustee Four

DENIS BOATENG
BOARD MEMBER
3435 ARTESIA BLVD
TORRANCE CA 90504

Officer/Director/Trustee Five

STACEY BYERS
BOARD MEMBER
3156 BENT TIMBER DRIVE
INDIANAPOLIS IN 46268

Organization’s website
Organization’s email DIVINE180RS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P73 - Group Home (Long Term)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 ARIEANNA RICHARDSON-HILL
Signature Title BOARD MEMBER
Signature Date 9/6/19

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