FORM 1023-EZ for DORCAS HOUSE

Field Data
EIN 82-4890193
Case Number EO-2018095-000620
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DORCAS HOUSE
Organization’s Mailing Address 8445 CAMBRILS AVE
City LAS VEGAS
State NV
ZIP 89178-4802
Accounting period End 12
Primary contact name TONI DUCLOTTNI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONI DUCLOTTNI
PRESIDENT
8445 CAMBRILS AVE
LAS VEGAS NV 89178-4802

Officer/Director/Trustee Two

CHRISTOPHER HARICH
SECRETARY
8445 CAMBRILS AVE
LAS VEGAS NV 89178-4802

Organization’s website WWW.DORCAS.HOUSE
Organization’s email INFO@DORCAS.HOUSE
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/18
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 TONI DUCLOTTNI
Signature Title PRESIDENT
Signature Date 3/22/18

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