FORM 1023-EZ for HUSCHKA HOUSE INC

Field Data
EIN 84-2388286
Case Number EO-2019345-000325
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HUSCHKA HOUSE INC
Organization’s Mailing Address 800 E UNAKA AVE
City JOHNSON CITY
State TN
ZIP 37601-4110
Accounting period End 12
Primary contact name DONNA CHERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AIMEE GOVETT
PRESIDENT
2058 IDA SUE DRIVE
JONESBOROUGH TN 37659-4497

Officer/Director/Trustee Two

JENNIFER GERVIN
TREASURER
424 PEACHTREE ST
JOHNSON CITY TN 37604-4457

Officer/Director/Trustee Three

DONNA CHERRY
EXECUTIVE DIRECTOR
800 E UNAKA AVE
JOHNSON CITY TN 37601-4110

Officer/Director/Trustee Four

ASHLEY GALLOWAY
VICE-PRESIDENT
515 LAUREL AVE
JOHNSON CITY TN 37604-6643

Officer/Director/Trustee Five

JENNIFER LOCKMILLER
SECRETARY
301 WEST HOLSTON AVE
JOHNSON CITY TN 37604-5525

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2019
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
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 DONNA CHERRY
Signature Title EXECUTIVE DIRECTOR
Signature Date 12/9/2019

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