FORM 1023-EZ for CAPERNAUM INSPIRED RELATIONAL CHRISTIAN LEADERSHIP ENTERPRISE

Field Data
EIN 85-3922159
Case Number EO-2021036-000142
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAPERNAUM INSPIRED RELATIONAL CHRISTIAN LEADERSHIP ENTERPRISE
Organization’s Mailing Address 1909 BROOKVIEW DRIVE
City ARLINGTON
State TX
ZIP 76010
Accounting period End 12
Primary contact name TAMMY FLORES CHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMMY FLORES CHAN
PRESIDENT
1909 BROOKVIEW DRIVE
ARLINGTON TX 76010

Officer/Director/Trustee Two

HOLLY BAXTER
VICE PRESIDENT
6619 CANYON CREST DRIVE
FORT WORTH TX 76132

Officer/Director/Trustee Three

MICHAELA COOLES
TREASURER
4708 RANCHVIEW RD
FORT WORTH TX 76109

Officer/Director/Trustee Four

STEPHEN SHIPLEY
SECRETARY
3201 WOODFORD DRIVE
ARLINGTON TX 76013

Officer/Director/Trustee Five

JIMMIE SULLIVAN
DIRECTOR
6407 REDSTONE DRIVE
ARLINGTON TX 76001

Organization’s website
Organization’s email tchan.circle@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Donation of funds Yes
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 TAMMY FLORES CHAN
Signature Title PRESIDENT
Signature Date 12/18/2020

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