FORM 1023-EZ for ANTHONYS HOUSE OF HOPE INC

Field Data
EIN 82-3289071
Case Number EO-2017310-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANTHONYS HOUSE OF HOPE INC
Organization’s Mailing Address P O BOX 373
City POOLER
State GA
ZIP 31322
Accounting period End 12
Primary contact name DARRYL HOLDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARRYL HOLDER
PRESIDENT
53 GLENWOOD COURT
POOLER GA 31322

Officer/Director/Trustee Two

MICHELA HOLDER
VICE PRESIDENT
53 GLENWOOD COURT
POOLER GA 31322

Officer/Director/Trustee Three

DR ROBERTA JONES
BOARD MEMBER
30799 PINETREE ROAD
CLEVELAND OH 44124

Officer/Director/Trustee Four

MARY JONES
BOARD MEMBER
1378 EAST 86 STREET
CLEVELAND OH 44106

Officer/Director/Trustee Five

KENNETH PIERCE
BOARD MEMBR
18312 EWALD CIRCLE
DETROIT MI 48238

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 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
Signature Title
Signature Date

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