FORM 1023-EZ for ROCK OF HABITATION INTERNATIONAL

Field Data
EIN 81-0995287
Case Number EO-2016043-000156
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROCK OF HABITATION INTERNATIONAL
Organization’s Mailing Address 7760 WINDING WAY
City FAIR OAKS
State CA
ZIP 95628
Accounting period End 12
Primary contact name JOSEPH KARNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SYDNEY FARHANG
DIRECTOR
7760 WINDING WAY
FAIR OAKS CA 95628

Officer/Director/Trustee Two

SAMUEL EGESA
DIRECTOR
7760 WINDING WAY
FAIR OAKS CA 95628

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
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 Yes
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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