FORM 1023-EZ for THE BERRY HOUSE INC

Field Data
EIN 85-3010458
Case Number EO-2020265-000162
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BERRY HOUSE INC
Organization’s Mailing Address 400 CAROUSEL DR
City VALLEJO
State CA
ZIP 94589
Accounting period End 12
Primary contact name JACQUELINE BERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUELINE BERRY
PRESIDENT
400 CAROUSEL DR
VALLEJO CA 94589

Officer/Director/Trustee Two

TANYA HASLEY
SECRETARY
400 CAROUSEL DR
VALLEJO CA 94589

Officer/Director/Trustee Three

LASHANA WHITFIELD
TREASURER
400 CAROUSEL DR
VALLEJO CA 94589

Officer/Director/Trustee Four

LACORIA BECKWITH
DIRECTOR
400 CAROUSEL DR
VALLEJO CA 94589

Officer/Director/Trustee Five

EUNICE GREEN
DIRECTOR
400 CAROUSEL DR
VALLEJO CA 94589

Organization’s website
Organization’s email JACQUELINERBERRY58@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 JACQUELINE BERRY
Signature Title PRESIDENT
Signature Date 9/17/2020

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