FORM 1023-EZ for ELIZABETH HOUSE FOUNDATION

Field Data
EIN 35-2425174
Case Number EO-2020230-000696
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELIZABETH HOUSE FOUNDATION
Organization’s Mailing Address PO BOX 217061
City CHARLOTTE
State NC
ZIP 28221-7061
Accounting period End 12
Primary contact name BRANDY SIMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDY SIMS
FOUNDER/PRESIDENT
4225 WATERFORD VALLEY CIRCLE APT 93
CHARLOTTE NC 28269

Officer/Director/Trustee Two

LAMONT PERRY
TREASURER
8604 FOX CHASE LN
CHARLOTTE NC 28269

Officer/Director/Trustee Three

JANNEL ADAMSON
SECRETARY
8306 UNIVERSITY STATION CIRCLE
CHARLOTTE NC 28269

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2011
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 BRANDY SIMS
Signature Title FOUNDER/PRESIDENT
Signature Date 8/14/2020

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