FORM 1023-EZ for LITTLE KIMS HOPE HOUSE

Field Data
EIN 81-1770753
Case Number EO-2020242-000281
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LITTLE KIMS HOPE HOUSE
Organization’s Mailing Address 12632 BENTLEY ST
City WATERFORD
State CA
ZIP 95386
Accounting period End 12
Primary contact name ANNETTE HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAVANNAH KETCHUM
DIRECTOR
2426 CHESTER
MODESTO CA 95350

Officer/Director/Trustee Two

DAVETTE NARTIN
DIRECTOR
1509 K ST 161
MODESTO CA 95354

Officer/Director/Trustee Three

DAVID MARTIN
DIRECTOR
1509 K ST
MODESTO CA 95354

Officer/Director/Trustee Four

ANNETTE HARRIS
DIRECTOR
12346 ROSE WAY
WATERFORD CA 95386

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
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 Yes
Gaming Activity No
Disaster relief assistance Yes
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 ANNETTE HARRIS
Signature Title DIRECTOR
Signature Date 8/26/2020

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