FORM 1023-EZ for THE EXODUS HOUSE INC

Field Data
EIN 26-4520515
Case Number EO-2017201-000083
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE EXODUS HOUSE INC
Organization’s Mailing Address 1410 WEST 14TH STREET
City ANDERSON
State IN
ZIP 46016-3313
Accounting period End 12
Primary contact name STEPHEN SIPKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIM WINNER
BOARD MEMBER
12994 DEERSTYNE GREEN STREET
CARMEL IN 46032-8380

Officer/Director/Trustee Two

ISAAC HORWEDEL
BOARD MEMBER
1965 MUSKET COURT
STONE MOUNTAIN GA 30087-1703

Officer/Director/Trustee Three

STEPHEN SIPKA
EXECUTIVE DIRECTOR
5420 WINTHROP AVENUE
INDIANAPOLIS IN 46220-3241

Organization’s website WWW.THEEXODUSHOUSE.COM
Organization’s email INFO@THEEXODUSHOUSE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2009
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F22 - Alcohol, Drug Abuse, Treatment Only
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
Signature Title
Signature Date

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