FORM 1023-EZ for OUR HOUSE EMERGENCY SHELTER INC

Field Data
EIN 46-5267227
Case Number EO-2016160-000220
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OUR HOUSE EMERGENCY SHELTER INC
Organization’s Mailing Address 8608 FRONTIER TRAIL
City PORT RICHEY
State FL
ZIP 34668
Accounting period End 12
Primary contact name VERONICA WARNSBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VERONICA WARNSBY
PRESIDENT TREASURER DIRECTOR
8608 FRONTIER TRAIL
PORT RICHEY FL 34668

Officer/Director/Trustee Two

PATRICIA PACENZA
SECRETARY
8608 FRONTIER TRAIL
PORT RICHEY FL 34668

Officer/Director/Trustee Three

LATESHIA MOORE
ASSISTANT SECRETARY
3966 SPENCER CIRCLE
MACON GA 31206

Organization’s website NA
Organization’s email OURHOUSEES@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2016
Organization Incorporation State FL
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: 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 Yes
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
Signature Title
Signature Date

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