FORM 1023-EZ for MONROE SUPPORTIVE HOUSING

Field Data
EIN 86-1506481
Case Number EO-2021141-000616
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MONROE SUPPORTIVE HOUSING
Organization’s Mailing Address 4308 FOX TROTTER DR
City RICHMOND
State VA
ZIP 23223
Accounting period End 1
Primary contact name ALEXIS HOLMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXIS HOLMES
FOUNDER
1317 DANCE ST
RICHMOND VA 23220

Officer/Director/Trustee Two

DELORIA PENDLETON
TREASURER
4308 FOX TROTTER DR
RICHMOND VA 23223

Officer/Director/Trustee Three

TIMOTHY BILBERY
SECRETARY
8512 TALLION WAY
CHESTERFIELD VA 23832

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2021
Organization Incorporation State VA
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 Yes
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 ALEXIS HOLMES
Signature Title FOUNDER
Signature Date 5/19/2021

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