FORM 1023-EZ for HOLY HEN HOUSE INC

Field Data
EIN 83-4192328
Case Number EO-2019281-000329
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOLY HEN HOUSE INC
Organization’s Mailing Address PO BOX 53
City KINGSTON
State WI
ZIP 53939-53
Accounting period End 12
Primary contact name GWEN SCHROEDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA ROSE
DIRECTOR
PO BOX 53
KINGSTON WI 53939-53

Officer/Director/Trustee Two

MELISSA KREUSER
DIRECTOR
N88W16007 PARK BLVD
MENOMONEE FALLS WI 53051

Officer/Director/Trustee Three

BECKY SCHERMERHORN
DIRECTOR
4122 GLENWAY STREET
WAUWATOSA WI 53222

Organization’s website WWW.HOLYHENHOUSE.COM
Organization’s email INFO@HOLYHENHOUSE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/19
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X80 - Religious Media, Communications Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 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 AMANDA ROSE
Signature Title DIRECTOR
Signature Date 10/6/19

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