FORM 1023-EZ for MIA HOUSE OF HOPE

Field Data
EIN 85-2091320
Case Number EO-2021091-000742
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIA HOUSE OF HOPE
Organization’s Mailing Address 317 E 65TH STREET
City LONG BEACH
State CA
ZIP 90805
Accounting period End 12
Primary contact name GLORIA JETER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GLORIA JETER
PRESIDENT
317 E 65TH STREET
LONG BEACH CA 90805

Officer/Director/Trustee Two

KESHAWNA MYLES
ADMINISTRATOR
317 E 65TH STREET
LONG BEACH CA 90805

Officer/Director/Trustee Three

ALTHEA CALDWELL
TREASURER
317 E 65TH STREET
LONG BEACH CA 90805

Officer/Director/Trustee Four

MADISON CHIPLEY
SECRETARY
317 E 65TH STREET
LONG BEACH CA 90805

Officer/Director/Trustee Five

CARMELITA JETER
DIRECTOR
317 E 65TH STREET
LONG BEACH CA 90805

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
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 Yes
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 GLORIA JETER
Signature Title PRESIDENT
Signature Date 2/23/2021

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