FORM 1023-EZ for EXPANSION

Field Data
EIN 84-2522402
Case Number EO-2019211-000200
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EXPANSION
Organization’s Mailing Address 19308 BEVERLY AVE
City MAPLE HTS
State OH
ZIP 44137
Accounting period End 12
Primary contact name DOMINIQUE WOODS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOMINIQUE WOODS
PRESIDENT
19308 BEVERLY AVE
MAPLE HTS OH 44137

Officer/Director/Trustee Two

AMOS BERRY
DIRECTOR
7315 JEAN DRIVE
BDFORD OH 44147

Officer/Director/Trustee Three

ERIC WOODS
VICE PRESIDENT
5245 THEODORE ST
MAPLE HTS OH 44137

Officer/Director/Trustee Four

KHADEESHA WILEY
MANAGER
3270 ALTAMONT
CLEVELAND HTS OH 44118

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/19
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P73 - Group Home (Long Term)
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 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 DOMINIQUE WOODS
Signature Title PRESIDENT
Signature Date 7/26/19

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