FORM 1023-EZ for SPECIALTY HOMES CORPORATION

Field Data
EIN 85-1555334
Case Number EO-2020177-000743
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPECIALTY HOMES CORPORATION
Organization’s Mailing Address 54697 EISENHOWER DR
City ELKHART
State IN
ZIP 46514-1036
Accounting period End 12
Primary contact name JARED GROSSER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JARED GROSSER
CEO
54697 EISENHOWER DR
ELKHART IN 46514-1036

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A70 - Humanities Organizations
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 Yes
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 JARED GROSSER
Signature Title CEO
Signature Date 6/23/2020

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