FORM 1023-EZ for OUR HOUSE OF RESTORATION INC

Field Data
EIN 84-2509905
Case Number EO-2020108-000058
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OUR HOUSE OF RESTORATION INC
Organization’s Mailing Address 330 BARNETTS BRIDGE ROAD
City JACKSON
State GA
ZIP 30233-3640
Accounting period End 12
Primary contact name KIMBERLY L ESKEW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY ESKEW
PRESIDENT, DIRECTOR
330 BARNETTS BRIDGE ROAD
JACKSON GA 30233-3640

Officer/Director/Trustee Two

ERNEST ESKEW
CFO, SUPERINTENDENT
330 BARNETTS BRIDGE ROAD
JACKSON GA 30233-3640

Officer/Director/Trustee Three

SUSAN HALE
CHAIRMAN
3616 CLUBHOUSE LANE SE
CONYERS GA 30094-3718

Officer/Director/Trustee Four

JAMES JOHNSON
CO-CHAIRMAN
120 PROVIDENCE PARKWAY
COVINGTON GA 30014-8350

Officer/Director/Trustee Five

MARGIE BARBER
SECRETARY
50B COLVIN DRIVE
JACKSON GA 31029-9130

Organization’s website
Organization’s email OURHOUSEOFRESTORATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 Yes
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 KIMBERLY ESKEW
Signature Title DIRECTOR
Signature Date 4/15/2020

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