FORM 1023-EZ for SAMS HOPE INC

Field Data
EIN 81-1382650
Case Number EO-2016053-000079
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAMS HOPE INC
Organization’s Mailing Address PO BOX 482
City HEBRON
State OH
ZIP 43025
Accounting period End 12
Primary contact name TINA SCHENK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TINA SCHENK
PRESIDENT/TREASURER
PO BOX 482
HEBRON OH 43025

Officer/Director/Trustee Two

DAVID SCHENK
CHAIRMAN
165 C SOUTH WESTMOOR AVE
NEWARK OH 43055

Officer/Director/Trustee Three

JACQUELINE CLELAND
SECRETARY
3525 N TRUE AVE NW
MCCONNELSVILLE OH 43756

Officer/Director/Trustee Four

CHRISTA WILLIAMSON
CHAIRMAN
3500 RIDGE RD
ZANESVILLE OH 43701

Organization’s website WWW.SAMSHOPEINC.COM
Organization’s email INFO@SAMSHOPEINC.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P73 - Group Home (Long Term)
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 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
Signature Title
Signature Date

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