FORM 1023-EZ for FHL TRANSITION HOUSE INC

Field Data
EIN 83-4672889
Case Number EO-2019129-000417
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FHL TRANSITION HOUSE INC
Organization’s Mailing Address 247 ARKANSAS 230
City CAVE CITY
State AR
ZIP 72521
Accounting period End 12
Primary contact name JANNY BREWER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANNY BREWER
PRESIDENT/INCORPORATOR
247 ARKANSAS 230
CAVE CITY AR 72521

Officer/Director/Trustee Two

TANYA SENSABAUGH
SECRETARY
1181 DUSTY LANE
CAVE CITY AR 72521

Officer/Director/Trustee Three

SAUNDRA BATTLES
TREASURER
2266 HIGHTOWER ROAD
SIDNEY AR 72577

Officer/Director/Trustee Four

PAUL MATTHEWS
DIRECTOR
1256 ARKANSAS 115
SMITHVILLE AR 72466

Officer/Director/Trustee Five

RON CANARD
DIRECTOR
213 MEADOW LAND
CAVE CITY AR 72521

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/19
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
Religious: Yes
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 JANNY BREWER
Signature Title PRESIDENT/INCORPORATOR
Signature Date 5/7/19

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