FORM 1023-EZ for DIANES WAY RECOVERY HOUSE

Field Data
EIN 82-3991590
Case Number EO-2018043-000113
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIANES WAY RECOVERY HOUSE
Organization’s Mailing Address 2657 SOUTH ROBINSON ST
City PHILADELPHIA
State PA
ZIP 19142
Accounting period End 12
Primary contact name CRYSTAL THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRYSTAL THOMAS
EXECUTIVE DIRECTOR
2657 SOUTH ROBINSON STREET
PHILA PA 19142

Officer/Director/Trustee Two

ANTHONY JOHNSON
PRESIDENT
620 EDGEMORE ROAD
PHILA PA 19151

Officer/Director/Trustee Three

DAWN BAYNES
VICE PRESIDENT
521 NORTH HOLLY ST
PHILA PA 19104

Officer/Director/Trustee Four

TANISHA WONGUS
SECRETARY
2610 BONAFFON ST
PHILA PA 19142

Officer/Director/Trustee Five

CHERRISE THOMAS-LETT
TREASURER
8524 LYONS PLACE
PHILA PA 19153

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/18
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 CRYSTAL THOMAS
Signature Title EXECUTIVE DIRECTOR
Signature Date 2/8/18

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