FORM 1023-EZ for STEPHYS HOUSE

Field Data
EIN 47-1945300
Case Number EO-2015028-000357
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STEPHYS HOUSE
Organization’s Mailing Address PO BOX 2331
City LANCASTER
State OH
ZIP 43130
Accounting period End 12
Primary contact name TIMOTHY E OATNEY CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUDY SEIFERT
PRESIDENT/CEO
22590 BUENA VISTA RD
ROCKBRIDGE OH 43149-9532

Officer/Director/Trustee Two

SHAWNA SAUNDERS
VICE PRESIDENT/CHAIR
427 MILLER AVE
LANCASTER OH 43130-2828

Officer/Director/Trustee Three

BROOKE RIGSBY
SECRETARY/TREASURER
210 MARKS AVE APT 4
LANCASTER OH 43130-1875

Officer/Director/Trustee Four

HEIDI HILYARD
VICTIM ADVOCATE
822 WHEELING ST
LANCASTER OH 43130-3252

Officer/Director/Trustee Five

CYNDI DAINES
MARKETING/EVENTS DIRECTOR
7300 FERNDALE PLACE
WESTERVILLE OH 43082-9600

Organization’s website
Organization’s email JUDYSEIFERT2013@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
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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