FORM 1023-EZ for HOPE HOUSE OF PICKAWAY COUNTY

Field Data
EIN 83-4152834
Case Number EO-2019091-000418
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOPE HOUSE OF PICKAWAY COUNTY
Organization’s Mailing Address 2146 NORTH COURT ST
City CIRCLEVILLE
State OH
ZIP 43113
Accounting period End 12
Primary contact name ASHLEY THOMPSON- PROGRAMCOORDINATOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RODNEY GRIFFITH
PRESIDENT
120 NORTH PICKAWAY STREET
CIRCLEVILLE OH 43113

Officer/Director/Trustee Two

GERHARD KRAUS
VICE PRESIDENT
7704 OLD TARLTON PIKE
CIRCLEVILLE OH 43113

Officer/Director/Trustee Three

BRYAN SHONKWILER
TREASUER
20700 LONDON RD
CIRCLEVILLE OH 43113

Officer/Director/Trustee Four

MIKE HENDERSON
SECRETARY
419 E FRANKLIN ST
CIRCLEVILLE OH 43113

Organization’s website .HOPEHOUSEPICKAWAYC.WIXSITE.COM
Organization’s email HOPEHOUSEPICKAWAYCOUNTY@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/18
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: Yes
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 BRYAN SHONKWILER
Signature Title TREASUER
Signature Date 3/27/19

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