FORM 1023-EZ for YANIS HOUSE INC

Field Data
EIN 85-3689666
Case Number EO-2021202-000163
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YANIS HOUSE INC
Organization’s Mailing Address 1233 BOTELHO ST
City ANTIOCH
State CA
ZIP 94509
Accounting period End 12
Primary contact name FELITA FOUNTAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FELITA FOUNTAIN
PRESIDENT & DIRECTOR
1233 BOTELHO ST
ANTIOCH CA 94509

Officer/Director/Trustee Two

PATRICIA HURRINGTON
TREASURER & SECRETARY
16565 EHLE ST
SAN LEANDRO CA 94578

Organization’s website
Organization’s email FFAMILYENTERPRISES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 FELITA FOUNTAIN
Signature Title PRESIDENT & DIRECTOR
Signature Date 7/19/2021

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