FORM 1023-EZ for RAVEN HOUSE
| Field | Data |
|---|---|
| EIN | 90-0656444 |
| Case Number | EO-2020188-000661 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | RAVEN HOUSE |
| Organization’s Mailing Address | 9349 GAYLORD AVE |
| City | CLEVELAND |
| State | OH |
| ZIP | 44105 |
| Accounting period End | 6 |
| Primary contact name | ROSHAWN SAMPLE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ROSHAWN SAMPLE
EXECUTIVE DIRECTOR
4112 EAST 148TH ST
CLEVELAND OH 44128
Officer/Director/Trustee Two
MARLENA KING
BOARD PRESIDENT
4197 EAST 144TH ST
CLEVELAND OH 44120
| Organization’s website | WWW.RAVENHOUSEINC.ORG |
|---|---|
| Organization’s email | RAVENHOUSEINC@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/14/2014 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F33 - Group Home, Residential Treatment Facility - Mental Health Related |
| Organization’s purpose | Charitable: No Religious: No Educational: No 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 | Yes |
| Correctness Declaration | Yes |
| Signature Name | ROSHAWN SAMPLE |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 7/2/2020 |
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