FORM 1023-EZ for QUEST 4 A HOME INC

Field Data
EIN 82-1250193
Case Number EO-2017166-000048
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name QUEST 4 A HOME INC
Organization’s Mailing Address 1120 SAND DRIFT WAY A
City WEST PALM BEACH
State FL
ZIP 33411
Accounting period End 12
Primary contact name CHARLES C FERNSELL IV
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES C FERNSELL IV
PRESIDENT
1120 SAND DRIFT WAY A
WEST PALM BEACH FL 33411

Officer/Director/Trustee Two

THOMAS DORE
VICE PRESIDENT/SECRETARY
8001 S IH-35 S UNIT 3328
AUSTIN TX 78744

Officer/Director/Trustee Three

NOREEN LAKE
TREASURER
1538 CAMPBELL AVE
DES PLAINES IL 60016

Officer/Director/Trustee Four

MICHAEL LAKE
BOARD MEMBER
1538 CAMPBELL AVE
DES PLAINES IL 60016

Officer/Director/Trustee Five

ANTHONY ARREDIA
BOARD MEMBER
1437 MARSHALL DRIVE
DES PLAINES IL 60018

Organization’s website
Organization’s email CFERNSELL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 Yes
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
Signature Title
Signature Date

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