FORM 1023-EZ for HENRYS HOUSE LODGING

Field Data
EIN 83-3657964
Case Number EO-2019310-000111
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HENRYS HOUSE LODGING
Organization’s Mailing Address 2312 W KINGSFORD AVE
City SPOKANE
State WA
ZIP 99208-4429
Accounting period End 12
Primary contact name STACEY HENRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STACEY HENRY
DIRECTOR, PRESIDENT
2312 W KINGSFORD AVE
SPOKANE WA 99208-4429

Officer/Director/Trustee Two

DENISE MINOR
DIRECTOR, TREASURER
44 ELM ST UNIT 302
WORCESTER MA 1609

Officer/Director/Trustee Three

HEIDI CZIRR
DIRECTOR
4908 S ASHTON CT
SPOKANE WA 99203

Officer/Director/Trustee Four

TYLER MOOSMAN
DIRECTOR, VICE PRESIDENT
6608 PALMER ROAD
NINE MILES FALLS WA 99026

Officer/Director/Trustee Five

ROBERT FITZNER
DIRECTOR
2934 W CENTRAL AVE
SPOKANE WA 99205

Organization’s website WWW.HENRYSHOUSELODGING.ORG
Organization’s email STACEY@HENRYSHOUSELODGING.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/19
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
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 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 DENISE MINOR
Signature Title DIRECTOR, TREASURER
Signature Date 11/4/19

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