FORM 1023-EZ for REBIRTH HOUSE

Field Data
EIN 47-3481907
Case Number EO-2015119-000301
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REBIRTH HOUSE
Organization’s Mailing Address 210 TINDALL STREET
City SPARTANBURG
State SC
ZIP 29301-4750
Accounting period End 12
Primary contact name MARCIA HINES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARCIA HINES
PRESIDENT
210 TINDALL STREET
SPARTANBURG SC 29301-4750

Officer/Director/Trustee Two

CAROL JONES
CHAIRMAN
P O BOX 407
SPARTANBURG SC 29304-0407

Officer/Director/Trustee Three

PAMELA SORTER
TREASURER
671 CALIFORNIA AVENUE
SPARTANBURG SC 29303-2123

Organization’s website
Organization’s email REBIRTHHOUSEMINISTRY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2015
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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
Signature Title
Signature Date

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