FORM 1023-EZ for A SMALL MIRACLE FOUNDATION

Field Data
EIN 30-0224452
Case Number EO-2015310-000317
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A SMALL MIRACLE FOUNDATION
Organization’s Mailing Address 3124 STONEHENGE DRIVE
City RICHARDSON
State TX
ZIP 75082-4064
Accounting period End 12
Primary contact name GAYLE ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GAYLE ANDERSON
BOARD CHAIR/TREASURER
3124 STONEHENGE DRIVE
RICHARDSON TX 75082-4064

Officer/Director/Trustee Two

LAVONNE WESLEY
VICE PRESIDENT
2442 FAIRWAY CIRCLE
RICHARDSON TX 75080-2108

Officer/Director/Trustee Three

SUSAN POOL
SECRETARY
2216 PRIMROSE DRIVE
RICHARDSON TX 75082-3300

Organization’s website WWW.ASMALLMIRACLEFOUNDATION.ORG
Organization’s email ASMALLMIRACLEFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2003
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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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