FORM 1023-EZ for ELIZABETH HOUSE INC

Field Data
EIN 81-0614242
Case Number EO-2015316-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELIZABETH HOUSE INC
Organization’s Mailing Address 102 SOLDIER SQUARE
City CASSELBERRY
State FL
ZIP 32707
Accounting period End 12
Primary contact name SANDRA PRESTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SANDRA PRESTON
PRESIDENT
102 SOLDIER SQUARE
CASSELBERRY FL 32707

Officer/Director/Trustee Two

LIZA JOHNSON
TREASURER
748 GRETNA COURT
WINTER SPRINGS FL 32708

Officer/Director/Trustee Three

SANDRA PRESTON
CHIEF FINANCIAL OFFICER
102 SOLDIER SQUARE
CASSELBERRY FL 32707

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2004
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P72 - Half-Way House (Short-Term Residential Care)
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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