FORM 1023-EZ for AMYS HOUSE OF LOVE

Field Data
EIN 85-1156869
Case Number EO-2020225-000260
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMYS HOUSE OF LOVE
Organization’s Mailing Address 3565 STOER RD APT 8
City SHAKER HEIGHTS
State OH
ZIP 44122
Accounting period End 12
Primary contact name BYRDIE BLIZZARD-JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BYRDIE BLIZZARD-JACKSON
FOUNDER CEO
3565 STOER RD APT8
SHAKER HEIGHTS OH 44122

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 BYRDIE BLIZZARD-JACKSON
Signature Title FOUNDER CEO
Signature Date 8/10/2020

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