| Field | Data |
|---|---|
| EIN | 83-3712889 |
| Case Number | EO-2021116-000513 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HABITAT HYGIENE AND HEALTH SERVICES |
| Organization’s Mailing Address | 1161 CHURCH STREET |
| City | ST HELENA |
| State | CA |
| ZIP | 94574 |
| Accounting period End | 12 |
| Primary contact name | CYNTHIA HERRMANN CPA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
HARLEY ROTH
PRESIDENT
1161 CHURCH STREET
ST HELENA CA 94574
VICTORIA ROTH
SECRETARY
PO BOX 165
DEER PARK CA 94576
RICHARD CENTER
TREASURER
306 VISTA DR NO 6
YOUNTVILLE CA 94599
DAN COLES
MAINTENANCE DIRECTOR
PO BOX 131
DEER PARK CA 94576
| Organization’s website | WWW.HHHSERVICES.ORG |
|---|---|
| Organization’s email | HARLEYROTH49@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/25/2020 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | L41 - Homeless, Temporary Shelter For |
| 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 | HARLEY ROTH |
| Signature Title | PRESIDENT |
| Signature Date | 4/23/2021 |
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