FORM 1023-EZ for HOUSE OF MIRACLES INC

Field Data
EIN 86-1009934
Case Number EO-2021117-000090
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOUSE OF MIRACLES INC
Organization’s Mailing Address 9326 W RASCON LOOP
City PHOENIX
State AZ
ZIP 85307
Accounting period End 12
Primary contact name XAVIER JENKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

XAVIER JENKINS
EXECUTIVE DIRECTOR
9326 W RASCON LOOP
PHOENIX AZ 85037

Officer/Director/Trustee Two

AUDREY JENKINS
CO-EXECUTIVE DIRECTOR
9326 W RASCON LOOP
PHOENIX AZ 85037

Officer/Director/Trustee Three

ROB BEST
BOARD MEMBER
9326 W RASCON LOOP
PHOENIX AZ 85037

Officer/Director/Trustee Four

MEKA ALLEN
BOARD MEMBER
9326 W RASCON LOOP
PHOENIX AZ 85037

Organization’s website HOUSEOFMIRACLESINC.ORG
Organization’s email PEACEFULLIVINGHOUSE@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2000
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name XAVIER JENKINS
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/25/2021

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