FORM 1023-EZ for MY FAMILYS HOME SWEET HOME

Field Data
EIN 83-4676547
Case Number EO-2019133-000471
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY FAMILYS HOME SWEET HOME
Organization’s Mailing Address 1108 SUMMER ST
City HAMMOND
State IN
ZIP 46320
Accounting period End 12
Primary contact name RACHEL RODRIGUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JARROD RODRIGUEZ
PRESIDENT
1108 SUMMER ST REAR
HAMMOND IN 46320

Officer/Director/Trustee Two

JOSHUA RODRIGUEZ
VICE PRESIDENT
1108 SUMMER ST
HAMMOND IN 46320

Officer/Director/Trustee Three

RACHEL RODRIGUEZ
CEO
370 SUPERIOR AVE
CALUMET CITY IL 60409

Officer/Director/Trustee Four

OFELIA FRECHETTE
SECRETARY
518 CONKEY ST
HAMMOND IN 46324

Organization’s website HTTPS://MYFAMHSH.WIXSITE.COM/WEBSITE
Organization’s email MYFAMHSH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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 RACHEL RODRIGUEZ
Signature Title CEO
Signature Date 5/10/19

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