FORM 1023-EZ for LOGAN HOUSE

Field Data
EIN 86-1318852
Case Number EO-2021076-000600
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOGAN HOUSE
Organization’s Mailing Address 294 LAKE DOE BLVD
City APOPKA
State FL
ZIP 32703-5030
Accounting period End 12
Primary contact name BARBARA JO MATHIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARBARA JO MATHIS
DIRECTOR
294 LAKE DOE BLVD
APOPKA FL 32703-5030

Officer/Director/Trustee Two

MINKO BERTTY
OFFICER
4647 RING NECK ROAD
ORLANDO FL 32808-1248

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P73 - Group Home (Long Term)
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name BARBARA JO MATHIS
Signature Title DIRECTOR
Signature Date 1/18/2021

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