FORM 1023-EZ for FARLEY FOUNDATION HOUSE OF HOPE INC

Field Data
EIN 83-3186010
Case Number EO-2019225-000202
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FARLEY FOUNDATION HOUSE OF HOPE INC
Organization’s Mailing Address 10
City JONESBORO
State AR
ZIP 72401
Accounting period End 12
Primary contact name ARLON WOODRUFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY FAZNI
PRESIDENT
8491 SUNSET BLVD NO 668
WEST HOLLYWOOD CA 90069

Officer/Director/Trustee Two

WAYNE FARLEY
VICE PRESIDENT
1047 CR 753
JONESBORO AR 72401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/19
Organization Incorporation State AR
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 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 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 AMY FAZNI
Signature Title PRESIDENT
Signature Date 8/9/19

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