FORM 1023-EZ for KAIS HOUSE INC

Field Data
EIN 85-1449497
Case Number EO-2020206-000124
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KAIS HOUSE INC
Organization’s Mailing Address 1006 PADDINGTON PL
City ANNAPOLIS
State MD
ZIP 21403
Accounting period End 12
Primary contact name CHRISI ROJAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTI ROJAS
PRESIDENT
1006 PADDINGTON PL
ANNAPOLIS MD 21403

Officer/Director/Trustee Two

KIM HOUSTON
VP
2344 BUCKLEIGH DR
CHARLOTTE MD 28215

Officer/Director/Trustee Three

JUANITA WARREN
SECRETARY
800 BATTERY AVE SE STE 100
ATLANTA GA 30339

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2020
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 CHRISTI ROJAS
Signature Title PRESIDENT
Signature Date 7/22/2020

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