FORM 1023-EZ for THE PHOENIX TRANSITION HOUSING INC

Field Data
EIN 86-1648078
Case Number EO-2021089-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE PHOENIX TRANSITION HOUSING INC
Organization’s Mailing Address 1024 SOUTH BELL STREET
City KOKOMO
State IN
ZIP 46902
Accounting period End 12
Primary contact name DANYELL JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA BROWN
PRESIDENT
7444 WEST 200 SOUTH
RUSSIAVILLE IN 46979

Officer/Director/Trustee Two

MERCEDES RUBOW
VICE-PRESIDENT
3352 EAST 100 SOUTH
KOKOMO IN 46901

Officer/Director/Trustee Three

RENANDA HOOSIER
SECRETARY
1210 CADILLAC DRIVE EAST
KOKOMO IN 46902

Officer/Director/Trustee Four

SETH FUNNELL
TREASURER
2001 NORTH PURDUM
KOKOMO IN 46901

Officer/Director/Trustee Five

TRACY MARTINO
MEMBER
3649 WEST 500 NORTH
KOKOMO IN 46901

Organization’s website N/A
Organization’s email THEPHOENIX.STTH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2021
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I70 - Protection Against, Prevention of Neglect, Abuse, Exploitation
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 LAURA BROWN
Signature Title PRESIDENT
Signature Date 2/9/2021

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