FORM 1023-EZ for BETHLEHEM HOUSE FOUNDATION

Field Data
EIN 83-3047480
Case Number EO-2019091-000487
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BETHLEHEM HOUSE FOUNDATION
Organization’s Mailing Address 7202 BUCHANAN STREET
City LANDOVER HILLS
State MD
ZIP 20784
Accounting period End 12
Primary contact name MARGARET KOLM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARGARET KOLM
DIRECTOR
10219 GRANT AVENUE
SILVER SPRING MD 20910

Officer/Director/Trustee Two

KATHY HEALY
DIRECTOR
3854 CHEVY CHASE PARKWAY NW
WASHINGTON DC 20015

Officer/Director/Trustee Three

MARY OMEARA
DIRECTOR
7202 BUCHANAN STREET
LANDOVER HILLS MD 20784

Organization’s website
Organization’s email BETHLEHEMHOUSEFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/18
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
Organization’s purpose Charitable: No
Religious: Yes
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 MARGARET KOLM
Signature Title DIRECTOR
Signature Date 3/27/19

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