FORM 1023-EZ for 180 RECOVERY HOUSE

Field Data
EIN 85-1531585
Case Number EO-2020176-000440
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 180 RECOVERY HOUSE
Organization’s Mailing Address 123 WEAVER LN
City WEAVER
State AL
ZIP 36277-3742
Accounting period End 12
Primary contact name KENDRA HOMESLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENDRA HOMESLEY
DIRECTOR
123 WEAVER LANE
WEAVER AL 36277-3742

Officer/Director/Trustee Two

JASON HOMESLEY
OFFICER
123 WEAVER LANE
WEAVER AL 36277-3742

Officer/Director/Trustee Three

JUSTIN VEAZEY
OFFICER
1987 CEDAR SPRINGS DR
JACKSONVILLE AL 36265-6056

Organization’s website 180RECOVERYHOUSE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2020
Organization Incorporation State AL
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 KENDRA HOMESLEY
Signature Title DIRECTOR
Signature Date 6/22/2020

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