FORM 1023-EZ for PEACE HOUSE
| Field | Data |
|---|---|
| EIN | 83-3614856 |
| Case Number | EO-2019057-000464 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PEACE HOUSE |
| Organization’s Mailing Address | 176 RIVIERA DR |
| City | MICHIGAN CITY |
| State | IN |
| ZIP | 46360 |
| Accounting period End | 12 |
| Primary contact name | ANN RISSMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ANN RISSMAN
CEO
176 RIVIERA DR
MICHIGAN CITY IN 46360
Officer/Director/Trustee Two
ZACHERY ANDERSON
PRESIDENT
176 RIVIERA DR
MICHIGAN CITY IN 46360
Officer/Director/Trustee Three
BARBARA BENNITT
BOARD OF DIRECTOR
1504 A ST
LA PORTE IN 46350
Officer/Director/Trustee Four
LISA BICKER
BOARD OF DIRECTOR
388 E 600 N
LA PORTE IN 46350
Officer/Director/Trustee Five
JACKIE GASPAROVIC
BOARD OF DIRECTOR
2804 BOILERMAKER COURT
VALPARAISO IN 46383
| Organization’s website | PEACEHOUSE2019.ORG |
|---|---|
| Organization’s email | PEACEHOUSE.2019@GMAIL.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/18/19 |
| Organization Incorporation State | IN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P72 - Half-Way House (Short-Term Residential Care) |
| 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 | Yes |
| 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 | ANN RISSMAN |
| Signature Title | CEO |
| Signature Date | 2/24/19 |
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