FORM 1023-EZ for A HOME AWAY FROM HOME FOUNDATION INC

Field Data
EIN 82-1713439
Case Number EO-2018095-000413
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A HOME AWAY FROM HOME FOUNDATION INC
Organization’s Mailing Address 10113 FOREST LANDING DRIVE
City CHARLOTTE
State NC
ZIP 28213-4060
Accounting period End 12
Primary contact name JAINON JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAINON JONES
PRESIDENT
131 ARCARO DRIVE
GREENSBORO NC 27455-926

Officer/Director/Trustee Two

TONJA CATES
VICE PRESIDENT
2729-D YANCEYVILLE STREET
GREENSBORO NC 27405-4463

Officer/Director/Trustee Three

MARSHA GATES
SECRETARY
9109 ALEXANDER COMMONS DRIVE A-107
CHARLOTTE NC 28262-5586

Officer/Director/Trustee Four

SANDRA SIMPSON
TREASURE
4102 WAITSFIELD COURT
GREENSBORO NC 27406-8788

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I73 - Sexual Abuse, Prevention of
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 JAINON JONES
Signature Title PRESIDENT
Signature Date 3/21/18

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