FORM 1023-EZ for MIRACLE HOUSE ANIMAL RESCUE INC

Field Data
EIN 83-1490970
Case Number EO-2018227-000309
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIRACLE HOUSE ANIMAL RESCUE INC
Organization’s Mailing Address 16 MOHICAN COVE WEST
City LAKE WAYNOKA
State OH
ZIP 45171
Accounting period End 12
Primary contact name JOAN BRANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNNE DUBA
DIRECTOR
7511 HIDDEN KNOLL COURT
WEST CHESTER OH 45069

Officer/Director/Trustee Two

MARK LEEVER
DIRECTOR
782 LAVERTY LANE
CINCINNATI OH 45230

Officer/Director/Trustee Three

JEFF BROWN
DIRECTOR
8922 WRIGHT ROAD
SARDINIA OH 45171

Officer/Director/Trustee Four

JOAN BRANT
DIRECTOR
8922 WRIGHT ROAD
SARDINIA OH 45171

Organization’s website
Organization’s email MIRACLEHOUSERESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/7/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOAN BRANT
Signature Title DIRECTOR
Signature Date 8/13/18

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