FORM 1023-EZ for APPALACHIA HOUSING INC

Field Data
EIN 47-4871627
Case Number EO-2015267-000384
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name APPALACHIA HOUSING INC
Organization’s Mailing Address 55 VANDEWATER STREET APT 8
City SAN FRANCISCO
State CA
ZIP 94133
Accounting period End 12
Primary contact name ANA C LEPERA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANA LEPERA
DIRECTOR
55 VANDEWATER STREET APT 8
SAN FRANCISCO CA 94133

Officer/Director/Trustee Two

DAVID MEYER
SECRETARY
546 MONTFORD AVENUE
MILL VALLEY CA 94941

Officer/Director/Trustee Three

STACY THAL
TREASURER
12 SCOTT ALLEY
SAN FRANCISCO CA 94107

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L20 - Housing Development, Construction, Management
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 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 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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