FORM 1023-EZ for VILLAGE OF HOPE CDA INC

Field Data
EIN 84-3393975
Case Number EO-2019297-000263
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VILLAGE OF HOPE CDA INC
Organization’s Mailing Address 12075 N STRAHORN RD
City HAYDEN
State ID
ZIP 83835
Accounting period End 12
Primary contact name NIKOLE LONGWEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NIKOLE LONGWELL
PRESIDENT
12075 N STRAHORN RD
HAYDEN ID 83835

Officer/Director/Trustee Two

RACHAEL VAN VALIN
PRESIDENT
5711 N 16TH ST
DALTON GARDENS ID 83815

Officer/Director/Trustee Three

BRIAN LONGWELL
VICE-PRESIDENT
12075 N STRAHORN RD
HAYDEN ID 83835

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/19
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P32 - Foster Care
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 NIKOLE LONGWELL
Signature Title PRESIDENT
Signature Date 10/19/19

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