FORM 1023-EZ for HOUSE 1 14 INC

Field Data
EIN 81-3953301
Case Number EO-2016300-000220
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOUSE 1 14 INC
Organization’s Mailing Address 3433 W 400 S
City BERNE
State IN
ZIP 46711
Accounting period End 12
Primary contact name CORY SPRUNGER ATTORNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LANA SPRUNGER
PRESIDENT, DIRECTOR
3433 W 400 S
BERNE IN 46711

Officer/Director/Trustee Two

TROY GREEN
DIRECTOR
114 W WALNUT
MONROE IN 46772

Officer/Director/Trustee Three

JOHN CARROLL
DIRECTOR
1970 N PIQUA ROAD
DECATUR IN 46733

Officer/Director/Trustee Four

CORY SPRUNGER
ATTORNEY
265 W WATER STREET
BERNE IN 46711

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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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