FORM 1023-EZ for GRIFFIN HOMES SOBER LIVING INC

Field Data
EIN 85-2477620
Case Number EO-2020252-000709
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRIFFIN HOMES SOBER LIVING INC
Organization’s Mailing Address 959 WHISPERING WOODS DRIVE
City MACEDONIA
State OH
ZIP 44056-2350
Accounting period End 12
Primary contact name KENDRA ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DUANE GRIFFIN JR
FOUNDER AND EXECUTIVE DIRECTOR
959 WHISPERING WOODS DRIVE
MACEDONIA OH 44056-2350

Officer/Director/Trustee Two

LARRY BURT
PRESIDENT OF THE BOARD OF DIRECTORS
1015 MAYVIEW DRIVE
AKRON OH 44313-5809

Officer/Director/Trustee Three

DUANE JOHNSON
TREASURER
22375 FAIRMOUNT BLVD
SHAKER HEIGHTS OH 44118-4825

Officer/Director/Trustee Four

LARESE PURNELL
VICE-PRESIDENT OF THE BOARD
1001 LAKESIDE E - SUITE 1520
CLEVELAND OH 44114-1193

Officer/Director/Trustee Five

TYFFANI DENT
SECRETARY
PO BOX 23561
GARFIELD HEIGHTS OH 44125

Organization’s website
Organization’s email GRIFFINHOMESSOBERLIVING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 DUANE GRIFFIN JR
Signature Title FOUNDER AND EXECUTIVE DIRECTOR
Signature Date 9/5/2020

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