FORM 1023-EZ for RAPHA HOUSE

Field Data
EIN 20-4116121
Case Number EO-2016057-000087
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RAPHA HOUSE
Organization’s Mailing Address 543 COX ROAD SUITE C8
City GASTONIA
State NC
ZIP 28054-0607
Accounting period End 12
Primary contact name ALTHEA DUCKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

YODKA WILLIAMS
PRESIDENT
29411 ORR DRIVE
CHARLOTTE NC 28216-2844

Officer/Director/Trustee Two

ALTHEA DUCKETT
CHAIRPERSON
1701 YELLOWSTONE
GASTONIA NC 28054-2764

Officer/Director/Trustee Three

SAM ETHERIDGE
VICE PRESIDENT
147 PHYLER DRIVE
SPARTANBURG SC 29303-5879

Officer/Director/Trustee Four

BONNIE FOSTER
TREASRURY
2914 PIRATES PLACE
CHARLOTTE NC 28216-5710

Officer/Director/Trustee Five

IGNATIOUS PATTERSON
SECRETARY
2924 ONEIDA DRIVE
CHARLOTTE NC 28269-5864

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/2/2005
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
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

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