FORM 1023-EZ for MAXI HOME INC

Field Data
EIN 84-3462836
Case Number EO-2020017-000259
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAXI HOME INC
Organization’s Mailing Address 2679 SHEFFIELD HILL WAY
City WOODBRIDGE
State VA
ZIP 22191
Accounting period End 12
Primary contact name WALTER PEREZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WALTER PEREZ
CEO
2679 SHEFFIELD HILL WAY
WOODBRIDGE VA 22191

Officer/Director/Trustee Two

CAROLINE AMIN
TREASURER OR CHIEF FINANCIAL OFFICE
2679 SHEFFIELD HILL WAY
WOODBRIDGE VA 22191

Officer/Director/Trustee Three

RIGOBERTO PEREZ
TREASURER OR CHIEF FINANCIAL OFFICE
2679 SHEFFIELD HILL WAY
WOODBRIDGE VA 22191

Organization’s website
Organization’s email WALTER@ACCONLINE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2019
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - Alliance/Advocacy Organizations
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 WALTER PEREZ
Signature Title CEO
Signature Date 1/15/2020

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