FORM 1023-EZ for CELIAS HOUSE INC

Field Data
EIN 47-2946108
Case Number EO-2015042-000204
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CELIAS HOUSE INC
Organization’s Mailing Address 40 BROOME STREET
City WEST BABYLON
State NY
ZIP 11704
Accounting period End 9
Primary contact name CAROL WHITFIELD VICKERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAROL WHITFIELD VICKERS
PRESIDENT
150 MARTIN PLACE
BABYLON NY 11702

Officer/Director/Trustee Two

LYLLIE RODRIGUEZ
TREASURER
10370 LAUNCH CIRCLE
MANASSAS VA 20109

Officer/Director/Trustee Three

CAROL KELLY
SECRETARY
7 QUARRY RUN
WALLINGFORD CT 06492

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2014
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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
Signature Title
Signature Date

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