FORM 1023-EZ for DIGNITY HOUSE INC

Field Data
EIN 83-2372784
Case Number EO-2018317-000426
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIGNITY HOUSE INC
Organization’s Mailing Address PO BOX 7149
City PHOENIX
State AZ
ZIP 85011
Accounting period End 12
Primary contact name CATHERINE OCHOA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHERINE OCHOA
DIRECTOR
PO BOX 7149
PHOENIX AZ 85009

Officer/Director/Trustee Two

DALE CAMPBELL
DIRECTOR
24 W CAMELBACK RD
PHOENIX AZ 85012

Officer/Director/Trustee Three

LOIS LUCAS
DIRECTOR
7550 N 12TH ST - 238
PHOENIX AZ 85020

Officer/Director/Trustee Four

ANNA LISA STEVENS
DIRECTOR
19920 N 23RD AVE-2088M
PHOENIX AZ 85027

Officer/Director/Trustee Five

SUSAN GALINDO
DIRECTOR
16042 W DURANGO ST
GOODYEAR AZ 85338

Organization’s website WWW.DIGNITYHOUSEPHX.ORG
Organization’s email DIGNITYHOUSEPHX@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P72 - Half-Way House (Short-Term Residential Care)
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 CATHERINE OCHOA
Signature Title DIRECTOR
Signature Date 11/9/18

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