FORM 1023-EZ for OLIVIAS HOUSE

Field Data
EIN 82-3940496
Case Number EO-2018059-000336
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OLIVIAS HOUSE
Organization’s Mailing Address 2325 DAISY HILL AVE
City LAS VEGAS
State NV
ZIP 89106
Accounting period End 12
Primary contact name RONNA GLOVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVION HAYNES
PRESIDENT(HEALTH SCIENCE)
2698 SHADOW HILLS DR
SAN BERNARDINO CA 92407

Officer/Director/Trustee Two

RONNA GLOVER
CHAIRMAN,TREASURER,SECRETARY
2325 DAISY HILL AVE
LAS VEGAS NV 89106

Officer/Director/Trustee Three

DANIELLE ROUX
BOARD OF DIRECTOR(CARE PROVIDER
2809 ALEXANDER
WACO TX 76708

Officer/Director/Trustee Four

GWENDOLYN MILTON-STEVENSON
BOARD OF DIRECTOR(CERTIFIED TAX PRE
10965 SOUTH VERMONT
LAS ANGELS CA 92392

Officer/Director/Trustee Five

DEBRA MC CRAY
BOARD OF DIRECTOR(PHYSIOLOGIST)
10479 BIG CHEF STREET
VICTORVILLE CA 92392

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/18
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I73 - Sexual Abuse, Prevention of
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 RONNA GLOVER
Signature Title CHAIRMAN,TREASURER,SECRETARY
Signature Date 2/26/18

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