FORM 1023-EZ for THE IVY HOUSE INC

Field Data
EIN 86-1463410
Case Number EO-2021152-000221
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE IVY HOUSE INC
Organization’s Mailing Address 6385 IVY STREET
City NASHVILLE
State TN
ZIP 37209
Accounting period End 12
Primary contact name CORRINE CHAMPIGNY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORRINE CHAMPIGNY
DIRECTOR
6385 IVY STREET
NASHVILLE TN 37209

Officer/Director/Trustee Two

SEAN TRASKOWSKI
DIRECTOR
6385 IVY STREET
NASHVILLE TN 37209

Officer/Director/Trustee Three

COLLEEN BROPHY
DIRECTOR
6385 IVY STREET
NASHVILLE TN 37209

Organization’s website
Organization’s email CORRINECHAMPIGNY@MAC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 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 CORRINE CHAMPIGNY
Signature Title DIRECTOR
Signature Date 5/28/2021

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