FORM 1023-EZ for VINE HOUSE INC

Field Data
EIN 81-5057454
Case Number EO-2020252-000597
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VINE HOUSE INC
Organization’s Mailing Address 523 MARTIN LUTHER KING DRIVE
City MODESTO
State CA
ZIP 95351
Accounting period End 12
Primary contact name CHERYL VAN HORN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERYL VAN HORN
PRESIDENT
5130 ROSELLE AVE
MODESTO CA 95357-1658

Officer/Director/Trustee Two

VICTOR CHEN
DIRECTOR
5012 SALIDA BLVD
SALIDA CA 95368

Officer/Director/Trustee Three

SUSAN RESTUM
CFO
2047 N CAMBRIDGE AVE 207
MILWAUKEE WI 53202

Organization’s website VINEHOUSEMODESTO.COM
Organization’s email VINEHOUSEMODESTO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: No
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 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 CHERYL VAN HORN
Signature Title PRESIDENT
Signature Date 9/4/2020
EIN 81-5057454
Case Number EO-2017025-000100
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VINE HOUSE INC
Organization’s Mailing Address 523 MARTIN LUTHER KING DRIVE
City MODESTO
State CA
ZIP 95351
Accounting period End 12
Primary contact name CHERYL VANHORN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERYL VANHORN
PRESIDENT
5130 ROSELLE AVE
MODESTO CA 95357

Officer/Director/Trustee Two

VICTOR CHEN
DIRECTOR
5012 SALIDA BLVD
SALIDA CA 95368

Officer/Director/Trustee Three

SUSAN RESTUM
CFO
2047 N CAMBRIDGE AVE 207
MILWAUKEE WI 53202

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: No
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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