FORM 1023-EZ for THE ROCKS HOUSE INC

Field Data
EIN 47-4716190
Case Number EO-2015220-000060
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE ROCKS HOUSE INC
Organization’s Mailing Address 4195 HWY 68 STE C PMB 157
City GOLDEN VALLEY
State AZ
ZIP 86413
Accounting period End 6
Primary contact name HENRY W VARGA CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS SIMON
PRESIDENT
4085 N CIBOLA
GOLDEN VALLEY AZ 86413

Officer/Director/Trustee Two

BEBE STRADER
SECRETARY
3870 N TONTO
GOLDEN VALLEY AZ 86413

Officer/Director/Trustee Three

GERHARD GRIESINGER
TREASURER
3852 S MONTEZUMA TR
GOLDEN VALLEY AZ 86413

Organization’s website NONE
Organization’s email CALVANVON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/2015
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
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
Signature Title
Signature Date

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