FORM 1023-EZ for MY NEIGHBORS HOUSE

Field Data
EIN 81-2272059
Case Number EO-2016246-000232
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MY NEIGHBORS HOUSE
Organization’s Mailing Address 202 RICHMOND RD
City TROY
State NH
ZIP 03465
Accounting period End 12
Primary contact name ALISSA FOX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALISSA FOX
PRESIDENT
315 RICHMOND RD
TROY NH 03465

Officer/Director/Trustee Two

WILLIAM MATSON
VICE PRESIDENT
74 HIGH ST
TROY NH 03465

Officer/Director/Trustee Three

DAVID ELLIS JR
TREASURER
64 SOUTH MAIN ST
TROY NH 03465

Officer/Director/Trustee Four

LINDA WEST
SECRETARY
174 DOOE RD
DUBLIN NH 03444

Officer/Director/Trustee Five

SHIELA AMES
TRUSTEE
293 SOUTH ST
TROY NH 03465

Organization’s website
Organization’s email MYNEIGHBORSHOUSE03465@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2016
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 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 Yes
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
Signature Title
Signature Date

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