FORM 1023-EZ for HOOPS HOUSE

Field Data
EIN 47-4607142
Case Number EO-2016070-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOOPS HOUSE
Organization’s Mailing Address 304 4TH ST
City SIERRA VISTA
State AZ
ZIP 85635
Accounting period End 12
Primary contact name JOHN HOOPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHANDI HOEY
PRESIDENT
130 N AVELLINO PL
SIERRA VISTA AZ 85635

Officer/Director/Trustee Two

EILEEN COULSTON
VICE PRESIDENT
6090 APACHE ROSE TR
HEREFORD AZ 85615

Officer/Director/Trustee Three

TERESA HOOPER
SECRETARY/TREASURE
33 BROWN CANYON RD
HEREFORD AZ 85615

Officer/Director/Trustee Four

FRED COGBURN
BOARD MEMBER
2728 S FERN DR
YUMA AZ 85634

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2015
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 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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