FORM 1023-EZ for THE MAGNOLIA HOUSE NH INC

Field Data
EIN 85-2677056
Case Number EO-2020242-000242
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE MAGNOLIA HOUSE NH INC
Organization’s Mailing Address 33 EXETER RD
City HAMPTON
State NH
ZIP 03842
Accounting period End 6
Primary contact name JULES JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER SMITH
INCORPORATOR
392 NEWINGTON ROAD
NEWINGTON NH 03801

Officer/Director/Trustee Two

DEANNA BELL
INCORPORATOR
21 COLUMBIA CIRCLE
PLYMOUTH MA 02360

Officer/Director/Trustee Three

STACY TARAZEWICH
INCORPORATOR
10 JUNIPER DRIVE
STRATHAM NH 03885

Officer/Director/Trustee Four

JACQUELINE REZENDES
INCORPORATOR
19 CHARDONNAY LANE
PLYMOUTH MA 02360

Officer/Director/Trustee Five

SANAZ TAHERNIA
INCORPORATOR
535 STOCKTON STREET NUMBER 65
SAN FRANCISCO CA 94108

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2020
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 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 DEANNA BELL
Signature Title INCORPORATOR
Signature Date 8/26/2020

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