| Field | Data |
|---|---|
| EIN | 83-1920256 |
| Case Number | EO-2020070-000134 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | KOINONIA HOUSE |
| Organization’s Mailing Address | 1115 FARLOW STREET |
| City | SPRINGFIELD |
| State | OH |
| ZIP | 45503 |
| Accounting period End | 12 |
| Primary contact name | SUSAN BOWMAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
STEPHEN BOWMAN
EXECUTIVE DIRECTOR
1115 FARLOW STREET
SPRINGFIELD OH 45503
REBECCA BENSON
SECRETARY
643 VILLA RD APT E
SPRINGFIELD OH 45503
FORREST HENSLEE
VICE PRESIDENT
4482 GREEN MEADOWS DRIVE
ENON OH 45323
SUSAN BOWMAN
OWNER/OPERATOR
1115 FARLOW STREET
SPRINGFIELD OH 45503
NOT APPLICABLE NOT APPLICABLE
NOT APPLICABLE
NOT APPLICABLE
NOT APPLICABLE
| Organization’s website | |
|---|---|
| Organization’s email | WSUSAN419@GMAIL.COM AND KOINONIA328@GMAIL.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/18/2018 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | L41 - Homeless, Temporary Shelter For |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | SUSAN BOWMAN |
| Signature Title | OWNER/OPERATOR |
| Signature Date | 3/8/2020 |
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