FORM 1023-EZ for THE STACEY HOUSE

Field Data
EIN 85-4072714
Case Number EO-2021029-000109
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE STACEY HOUSE
Organization’s Mailing Address 1129 8TH PL
City PLEASANT GROVE
State AL
ZIP 35127
Accounting period End 12
Primary contact name BRITTANY JAMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRITTANY JAMES
DIRECTOR
1129 8TH PL
PLEASANT GROVE AL 35127

Officer/Director/Trustee Two

FELICIA RUCKER-SUMERLIN
DIRECTOR
401 TRENTON ST
BIRMINGHAM AL 35224

Organization’s website
Organization’s email thestaceyhouse720@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/2020
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P70 - Residential, Custodial 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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRITTANY JAMES
Signature Title DIRECTOR
Signature Date 12/13/2020

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