FORM 1023-EZ for INTERFAITH AMBASSADORS OF LAKE TRAVIS INC

Field Data
EIN 85-4393316
Case Number EO-2021054-000081
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTERFAITH AMBASSADORS OF LAKE TRAVIS INC
Organization’s Mailing Address 4713 SNAKE EAGLE COVE
City AUSTIN
State TX
ZIP 78738
Accounting period End 12
Primary contact name STEVEN E GOTTLIEB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TINNY WIDJAJA
PRESIDENT/DIRECTOR
4713 SNAKE EAGLE COVE
AUSTIN TX 78738

Officer/Director/Trustee Two

BRIE STOCKWELL
SECRETARY/TREASURER/DIRECTOR
19200 WHITE HORSE COVE
SPICEWOOD TX 78669

Officer/Director/Trustee Three

CASSI SWEENEY
DIRECTOR
122 DESERT FOREST COURT
AUSTIN TX 78738

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/23/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K36 - Meals on Wheels
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 TINNY WIDJAJA
Signature Title PRESIDENT/DIRECTOR
Signature Date 12/23/2020

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