FORM 1023-EZ for MYRNAS HOUSE OF REFUGE

Field Data
EIN 36-4427053
Case Number EO-2021251-000057
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MYRNAS HOUSE OF REFUGE
Organization’s Mailing Address 314 LUELLA
City CALUMET CITY
State IL
ZIP 60409
Accounting period End 12
Primary contact name MERLINE GRANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MERLINE GRANT
SECRETARY
314 LUELLA
CALUMET CITY IL 60409

Officer/Director/Trustee Two

SVETLANA BROWN
PRESIDENT
314 LUELLA
CALUMET CITY IL 60409

Officer/Director/Trustee Three

SHELIA HICKLAN
TREASURER
53 E 36TH
CHICAGO IL 60637

Organization’s website WWW.MYRNAHOUSEOFREFUGE.COM
Organization’s email MYRNAHOUSEOFREFUGE21@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/17/2001
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
Conducting Activities Outside of United States Yes
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 No
Benefit of College Yes
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name MERLINE GRANT
Signature Title SECRETARY
Signature Date 9/3/2021

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