FORM 1023-EZ for HENRYS HOUSE INC

Field Data
EIN 83-3677265
Case Number EO-2019094-000382
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HENRYS HOUSE INC
Organization’s Mailing Address PO BOX 608
City MOUND
State MN
ZIP 55364
Accounting period End 12
Primary contact name MITHELL THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MITHELL THOMPSON
FOUNDER/CHAIR
PO BOX 608
MOUND MN 55364

Officer/Director/Trustee Two

AMANDA MYERS
SECRETARY
PO BOX 608
MOUND MN 55364

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/19
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L01 - Alliance/Advocacy 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 No
Donation of funds Yes
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 MITHELL THOMPSON
Signature Title FOUNDER/CHAIR
Signature Date 4/2/19

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