FORM 1023-EZ for KADESKI HOUSE INC

Field Data
EIN 82-4303222
Case Number EO-2018099-000002
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KADESKI HOUSE INC
Organization’s Mailing Address 3550 EXECUTIVE PARKWAY SUITE 7-268
City TOLEDO
State OH
ZIP 43606
Accounting period End 12
Primary contact name CAROLYN JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLYN JOHNSON
PRESIDENT-CEO
3560 MONROE STREET
TOLEDO OH 43606

Officer/Director/Trustee Two

CYNTHIA SMITH
BOARD MEMBER
1378 EAST 86 STREET
CLEVELAND OH 44106

Officer/Director/Trustee Three

WILLIAM SMITH
BOARD MEMBER
24709 EMERY ROAD
CLEVELAND OH 44128

Officer/Director/Trustee Four

MARY SMITH
BOARD MEMBER
1568 EUCLID AVENUE
TOLEDO OH 44111

Officer/Director/Trustee Five

JANET WALKER
BOARD MEMBER
1888 KINSMAN AVENUE
TOLEDO OH 43606

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 CAROLYN JOHNSON
Signature Title PRESIDENT-CEO
Signature Date 4/7/18

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