FORM 1023-EZ for APEX TRANSITIONAL HOUSING INC

Field Data
EIN 85-1008448
Case Number EO-2021187-000061
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name APEX TRANSITIONAL HOUSING INC
Organization’s Mailing Address 7614 W NORTHVIEW AVE
City GLENDALE
State AZ
ZIP 85303
Accounting period End 7
Primary contact name BETRAND RUSSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERRICK EARL
PRESIDENT & DIRECTOR
7614 W NORTHVIEW AVE
GLENDALE AZ 85303

Officer/Director/Trustee Two

TERESA STEWART
TREAS & SEC & DIRECTOR
7614 W NORTHVIEW AVE
GLENDALE AZ 85303

Officer/Director/Trustee Three

JAMICHAEL YOUNG
DIRECTOR
3415 W MONTE VISTA RD
PHOENIX AZ 85009

Organization’s website APEXHOUSINGINC.COM
Organization’s email DEARL@APEXTRANSITIONALHOUSING.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
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 DERRICK EARL
Signature Title PRESIDENT & DIRECTOR
Signature Date 7/1/2021

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