FORM 1023-EZ for MY HOUSE FOUNDATION

Field Data
EIN 46-3404953
Case Number EO-2016244-000274
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MY HOUSE FOUNDATION
Organization’s Mailing Address 3850 KIRKUP AVENUE
City CINCINNATI
State OH
ZIP 45213
Accounting period End 12
Primary contact name PAMELA CHAMPION
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA CHAMPION
EXECUTIVE DIRECTOR
3850 KIRKUP AVENUE
CINCINNATI OH 45213

Officer/Director/Trustee Two

EWANIKI MOORE-HAWKINS
BOARD MEMBER
1355 KARAHILL DRIVE
CINCINNATI OH 45240

Officer/Director/Trustee Three

CARNETTA WALKER
BOARD MEMBER
5232 EBERSOL
CINCINNATI OH 45227

Officer/Director/Trustee Four

DYAN MARINOS
BOARD MEMBER
338 MOLISE CIRCLE
WALTON OH 41094

Officer/Director/Trustee Five

CANDICE TOLBERT
FINANCIAL DIRECTOR
5303 COTTAGE VIEW COURT
LIBERTY TOWNSHIP OH 45011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2013
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L20 - Housing Development, Construction, Management
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-3404953
Case Number EO-2015173-000276
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MY HOUSE FOUNDATION
Organization’s Mailing Address 3850 KIRKUP AVENUE
City CINCINNATI
State OH
ZIP 45213
Accounting period End 12
Primary contact name CANDICE TOLBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAMELA CHAMPION
EXECUTIVE DIRECTOR
3850 KIRKUP AVENUE
CINCINNATI OH 45213

Officer/Director/Trustee Two

EWANIKI MOORE-HAWKINS
DIRECTOR
1355 KARAHILL DRIVE
CINCINNATI OH 45240

Officer/Director/Trustee Three

CARNETTA WALKER
SECRETARY
5232 EBERSOL
CINCINNATI OH 45227

Officer/Director/Trustee Four

DYAN MARINOS
RESEARCHER
338 MOLISE CIRCLE
WALTON KY 41094

Officer/Director/Trustee Five

CANDICE TOLBERT
CHIEF FINANCIAL OFFICER
5303 COTTAGE VIEW COURT
LIBERTY TOWNSHIP OH 45011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2013
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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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