| Field | Data |
|---|---|
| EIN | 83-3140150 |
| Case Number | EO-2019043-000053 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE COSTA HOUSE INC |
| Organization’s Mailing Address | 4207 SACKETT AVENUE |
| City | CLEVELAND |
| State | OH |
| ZIP | 44109 |
| Accounting period End | 12 |
| Primary contact name | KEVIN M JARRETT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
KEVIN JARRETT
DIRECTOR
4207 SACKETT AVENUE
CLEVELAND OH 44109
ANGELA SAMPSON
DIRECTOR
3301 ARCHMERE
CLEVELAND OH 44109
| Organization’s website | |
|---|---|
| Organization’s email | KEVINJARRETT.2@NETZERO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/9/19 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P72 - Half-Way House (Short-Term Residential Care) |
| 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 | 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 | KEVIN JARRETT |
| Signature Title | DIRECTOR |
| Signature Date | 2/10/19 |
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