FORM 1023-EZ for PHASE ONE RECOVERY HOUSE
| Field | Data |
|---|---|
| EIN | 81-4341484 |
| Case Number | EO-2016326-000061 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PHASE ONE RECOVERY HOUSE |
| Organization’s Mailing Address | 2720 HUGO AVENUE |
| City | BALTIMORE |
| State | MD |
| ZIP | 21218 |
| Accounting period End | 12 |
| Primary contact name | DEBRA JOHNSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DEBRA JOHNSON
PRESIDENT
4021 SHANNON DRIVE
BALTIMORE MD 21213
Officer/Director/Trustee Two
CHRISTOPHER HENRY
VICE PRESIDENT
922 BONAPARTE AVENUE
BALTIMORE MD 21218
Officer/Director/Trustee Three
AMY MARTIN
TREASURER
3904 GRAVERUN ROAD
MILLER MD 21102
Officer/Director/Trustee Four
BAILUS MCLEE
DIRECTOR
4503 SHAMROCK AVENUE
BALTIMORE MD 21206
Officer/Director/Trustee Five
MARVIN JACKSON
DIRECTOR
5701 PEMBROKE AVENUE
GYWN OAKS MD 21207
| Organization’s website | |
|---|---|
| Organization’s email | PHASEONERECOVERYHOUSE@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/27/2016 |
| Organization Incorporation State | MD |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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