FORM 1023-EZ for FRESH START TRANSITIONAL AND ASSISTED LIVING HOUSING INC

Field Data
EIN 82-4564174
Case Number EO-2018106-000964
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRESH START TRANSITIONAL AND ASSISTED LIVING HOUSING INC
Organization’s Mailing Address 8221 BISHOPSGATE LANE
City WHITE PLAINS
State MD
ZIP 20695
Accounting period End 12
Primary contact name KEITH BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH BROWN
PRESIDENT
8221 BISHOPSGATE LANE
WHITE PLAINS MD 20695

Officer/Director/Trustee Two

IVAN WILSON
DIRECTOR
8221 BISHOPSGATE LANE
WHITE PLAINS MD 20695

Officer/Director/Trustee Three

DENEEN KEATON
SECRETARY/TREASURER
8221 BISHOPSGATE LANE
WHITE PLAINS MD 20695

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/18
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 KEITH BROWN
Signature Title PRESIDENT
Signature Date 4/12/18

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