FORM 1023-EZ for JOSHUAS HOUSE LLC

Field Data
EIN 32-0617048
Case Number EO-2021015-000047
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JOSHUAS HOUSE LLC
Organization’s Mailing Address 804 HOWDENSHIRE RUN
City KNIGHTDALE
State NC
ZIP 27545
Accounting period End 12
Primary contact name DR EARNEST L SHANNON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EARNEST SHANNON
CEO
804 HOWDENSHIRE RUN
KNIGHTDALE NC 27545

Officer/Director/Trustee Two

DARON SATTERFIELD
CORPORATE ATTORNEY
401 MEADOWSLAND DRIVE 102
HILLSBOROUGH NC 27278

Officer/Director/Trustee Three

SHIRLEY GODDARD
BOARD ADVISOR
106 EASTERLY TERRACE
DEWITT NY 13214

Officer/Director/Trustee Four

KRISTEN REAVIS
ORGANIZATIONAL SECRETARY
1631 MIDTOWN PLACE
RALEIGH NC 27609

Officer/Director/Trustee Five

LAVON SHANNON
VP
804 HOWDENSHIRE RUN
KNIGHTDALE NC 27545

Organization’s website
Organization’s email DREARNESTSHANNON@JOSHUAS.HOUSE
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
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 EARNEST SHANNON
Signature Title CEO
Signature Date 11/25/2020

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