FORM 1023-EZ for KARENS HOUSE

Field Data
EIN 82-5407072
Case Number EO-2019066-000222
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KARENS HOUSE
Organization’s Mailing Address 977 E ST PO BOX 1596
City WILLIAMS
State CA
ZIP 95987
Accounting period End 12
Primary contact name CYNTHIA HACKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CYNTHIA HACKETT
PRESIDENT
2430 GEORGE RD
WILLIAMS CA 95987

Officer/Director/Trustee Two

JAMIE UMBLE
CHAIRPERSON
2542 HUSTED RD
WILLIAMS CA 95987

Officer/Director/Trustee Three

EMILY GOMEZ
SECRETARY
1206 KLEEMAN WAY
ARBUCKLE CA 95912

Officer/Director/Trustee Four

KAREN MARKS
TREASURER
PO BOX 658
WILLIAMS CA 95987-658

Organization’s website
Organization’s email KARENSHOUSEWMS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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 CYNTHIA HACKETT
Signature Title PRESIDENT
Signature Date 3/4/19

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