FORM 1023-EZ for OVER MY HEAD INC

Field Data
EIN 47-5008317
Case Number EO-2015294-000185
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OVER MY HEAD INC
Organization’s Mailing Address 150 TURNER STREET
City SOMERSET
State KY
ZIP 42501
Accounting period End 12
Primary contact name SHELIA EATON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEPHEN HALL
PRESIDENT
307 CHERRY STREET
SOMERSET KY 42503

Officer/Director/Trustee Two

KRISTI CHILDERS
VICE PRESIDENT
444 SUNSET DRIVE
BRONSTON KY 42518

Officer/Director/Trustee Three

JEANNIE KOVACS
SECRETARY
491 PUMPHOUSE ROAD
SOMERSET KY 42503

Officer/Director/Trustee Four

SHELIA EATON
TREASURER
215 LINCOLN HILLS DRIVE
SOMERSET KY 42501

Organization’s website
Organization’s email WWW.OVERMYHEADSOMERSET@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2015
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 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 Yes
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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