FORM 1023-EZ for HIS DAUGHTERS HOUSE

Field Data
EIN 83-3440697
Case Number EO-2019052-000183
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HIS DAUGHTERS HOUSE
Organization’s Mailing Address 3780 LA SIERRA 204
City RIVERSIDE
State CA
ZIP 92505
Accounting period End 12
Primary contact name ADRIANNE MASON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADRIANNE MASON
CHIEF EXECUTIVE OFFICER
4273 LAKEFALL CT
RIVERSIDE CA

Officer/Director/Trustee Two

TOLIA TERRELL
CHIEF OPERATING OFFICER
10908 VAN RUITEN ST
NORWALK CA 90650

Organization’s website HISDAUGHTERSHOUSES.ORG
Organization’s email INFO@HISDAUGHTERSHOUSES.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
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 Yes
Donation of funds Yes
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 ADRIANNE MASON
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 2/17/19

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