FORM 1023-EZ for THE OPEN ARMS HOUSE

Field Data
EIN 81-1048361
Case Number EO-2016013-000554
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE OPEN ARMS HOUSE
Organization’s Mailing Address 29820 ROAD 162
City VISALIA
State CA
ZIP 93292-9587
Accounting period End 12
Primary contact name SUZANNE MCCALLISTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAROL NICKEL
PRESIDENT
29820 ROAD 162
VISALIA CA 93292-9587

Officer/Director/Trustee Two

SUZANNE MCCALLISTER
TREASURER
5025 W CONCORD AVE
VISALIA CA 93277-5197

Officer/Director/Trustee Three

MERRILYN BRADY
DIRECTOR
5527 W SUNNYVIEW
VISALIA CA 93291-9038

Officer/Director/Trustee Four

MARY FERRARA
DIRECTOR
3305 N GILL RD
EXETER CA 93221-9618

Officer/Director/Trustee Five

JIM HEATON
DIRECTOR
3738 MILL CREEK DRIVE
VISALIA CA 93291-5613

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P74 - Hospice
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 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
Signature Title
Signature Date

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