FORM 1023-EZ for GOD HOUSE

Field Data
EIN 83-2172959
Case Number EO-2018288-000307
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOD HOUSE
Organization’s Mailing Address 2331 CHATHAM ROAD
City SPRINGFIELD
State IL
ZIP 62704
Accounting period End 9
Primary contact name MARCIA DEAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK-US MACON
PRESIDENT
2331 CHATHAM ROAD
SPRINGFIELD IL 62704

Officer/Director/Trustee Two

DOLLISA MACON
SECRETARY
2331 CHATHAM ROAD
SPRINGFIELD IL 62701

Officer/Director/Trustee Three

MARCIA DEAN
BOARD MEMEBER
400 E MADISO
SPRINGFIELD IL 62701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 MARCIA DEAN
Signature Title BOARD MEMEBER
Signature Date 10/10/18

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