FORM 1023-EZ for AS FOR US AND OUR HOUSE INC

Field Data
EIN 85-1584515
Case Number EO-2020274-000378
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AS FOR US AND OUR HOUSE INC
Organization’s Mailing Address 19 DEEPDALE DRIVE
City BRENTWOOD
State NY
ZIP 11717
Accounting period End 12
Primary contact name RICHARD GIDDENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD GIDDENS
FOUNDER / CHAIR
19 DEEPDALE DRIVE
BRENTWOOD NY 11717

Officer/Director/Trustee Two

KELLIE ULLAH
VICE CHAIR
107-60 WATSON PLACE
JAMAICA NY 11433

Officer/Director/Trustee Three

PETER HAMILTON
TREASURER
134-29 226TH STREET
LAURELTON NY 11413

Officer/Director/Trustee Four

ALICIA BUSH
SECRETARY
342 ATLANTIC AVENUE
BAY SHORE NY 11706

Officer/Director/Trustee Five

MICHAEL RICHARDSON
DIRECTOR OF REENTRY
602 COMMANDER AVENUE
WEST BABYLON NY 11704

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
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 RICHARD GIDDENS
Signature Title FOUNDER / CHAIR
Signature Date 9/28/2020

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