FORM 1023-EZ for SPECIAL FAMILY INC

Field Data
EIN 47-1514826
Case Number EO-2016039-000075
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPECIAL FAMILY INC
Organization’s Mailing Address 25 STATE HWY 121 APT 1316
City EULESS
State TX
ZIP 76039
Accounting period End 12
Primary contact name ROSALBA PENA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROSSEMBERGS PENA
DIRECTOR
2500 STATE HIGHWAY 121 APT 1718
EULESS TX 76039

Officer/Director/Trustee Two

JOSEFINA MELENDEZ
DIRECTOR
2500 STATE HIGHWAY 121 APT 1718
EULESS TX 76039

Officer/Director/Trustee Three

ROSALBA PENA
DIRECTOR
2500 STATE HIGHWAY 121 APT 1718
EULESS TX 76039

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2014
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: 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 No
One Third Support Gifts Yes
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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