FORM 1023-EZ for LEADERSHIP NORTHWEST INC

Field Data
EIN 32-0174033
Case Number EO-2017130-000521
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEADERSHIP NORTHWEST INC
Organization’s Mailing Address 3918 TELEPHONE ROAD SUITE 200
City LAKE WORTH
State TX
ZIP 76135-2936
Accounting period End 6
Primary contact name JANE PEYTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEANN ELLIS
CHAIRMAN
1647 SPINAKER LANE
AZLE TX 76020

Officer/Director/Trustee Two

JANE PEYTON
SECRETARY TREASURE
201 FAMILIA COURT
AZLE TX 76020

Officer/Director/Trustee Three

JODY WILLIAMSON
VICE CHAIRMAN
7200 ROBERTSON ROAD
FT. WORTH TX 76135

Officer/Director/Trustee Four

DENE BERRY
EVENT PLANNER-DIRECTOR
202 TEJAS COURT
SPRINGTOWN TX 76082

Officer/Director/Trustee Five

GREG FOX
NORTHWEST CHAMBER REPRESENTATIVE
3928 TELEPHONE ROAD SUITE200
LAKE WORTH TX 76135-2936

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/30/2006
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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