FORM 1023-EZ for MAMAS HOUSE

Field Data
EIN 82-1555755
Case Number EO-2017261-000077
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAMAS HOUSE
Organization’s Mailing Address PO BOX 11015
City CINCINNATI
State OH
ZIP 45211
Accounting period End 5
Primary contact name CAMILLE WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAMILLE WHITE
FOUNDER AND ED
1763 FAIRMOUNT AVE
CINCINNATI OH 45214

Officer/Director/Trustee Two

RUTH WALLBRECH
BOARD OF DIRECTOR
4180 ANGIE CT
CINCINNATI OH 45248

Officer/Director/Trustee Three

STACEY WAGNER
BOARD OF DIRECTOR
1585 WINFORD CT
FOREST PARK OH 45240

Officer/Director/Trustee Four

NICOLE MCNEAL
BOARD OF DIRECTOR
2851 FISCHER
CINCINNATI OH 45211

Officer/Director/Trustee Five

DANIKA HENSON
BOARD OF DIRECTOR
5629 FOX LOVE LN
CINCINNATI OH 45239

Organization’s website
Organization’s email MYMAMASHOUSE15@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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
Signature Title
Signature Date

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