FORM 1023-EZ for ZARIAS HOUSE

Field Data
EIN 85-4323227
Case Number EO-2021039-000206
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ZARIAS HOUSE
Organization’s Mailing Address 190 WHETSTONE WAY
City VILLA RICA
State GA
ZIP 30180
Accounting period End 12
Primary contact name CAROLYN DILLON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLYN DILLON
DIRECTOR
190 WHETSTONE WAY
VILLA RICA GA 30180

Officer/Director/Trustee Two

NATALIE MIZYSAK
DIRECTOR
717 PARK HAVEN LN
CANTON GA 30115

Officer/Director/Trustee Three

DARIUS DILLON
DIRECTOR
190 WHETSTONE WAY
VILLA RICA GA 30180

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/24/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CAROLYN DILLON
Signature Title DIRECTOR
Signature Date 12/21/2020

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