FORM 1023-EZ for THE MICKLE HOUSE

Field Data
EIN 85-3000242
Case Number EO-2020295-000507
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE MICKLE HOUSE
Organization’s Mailing Address 2804 WALKER COURT SE
City SMYRNA
State GA
ZIP 30080
Accounting period End 4
Primary contact name KEVETT MICKLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVETT MICKLE
CEO
2804 WALKER COURT SE
SMYRNA GA 30080

Officer/Director/Trustee Two

SHAYNA MICKLE
VICE PRESIDENT
2804 WALKER COURT SE
SMYRNA GA 30080

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 KEVETT MICKLE
Signature Title CEO
Signature Date 10/13/2020

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