FORM 1023-EZ for RAINBOW HAVEN TRANSITIONAL HOUSINGINC

Field Data
EIN 20-3811637
Case Number EO-2016096-000223
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RAINBOW HAVEN TRANSITIONAL HOUSINGINC
Organization’s Mailing Address 303 W CLINTON ST
City FRANKFORT
State IN
ZIP 46041
Accounting period End 12
Primary contact name CHAD KOZUCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICIA LEE
PRESIDENT OF BOARD
653 N CRESCENT DR
FRANKFORT IN 46041

Officer/Director/Trustee Two

CHAD KOZUCH
BOARD MEMBER - TREASURER
6259 W MULBERRY JEFF RD
FRANKFORT IN 46041

Officer/Director/Trustee Three

CHRISTINE ADAMSON
PROGRAM DIRECTOR
216 W COUNTY RD 200 SOUTH
FRANKFORT IN 46041

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/2005
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P72 - Half-Way House (Short-Term Residential Care)
Organization’s purpose Charitable: No
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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