FORM 1023-EZ for NORTH TEXAS SHIELD FOUNDATION

Field Data
EIN 20-0866452
Case Number EO-2019122-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH TEXAS SHIELD FOUNDATION
Organization’s Mailing Address 2525 E SOUTHLAKE BLVD
City SOUTHLAKE
State TX
ZIP 76092
Accounting period End 12
Primary contact name PIETER HYE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PIETER HYE
CHAIRMAN
4522 SADDLE RIDGE RD
ROANOKE TX 76262

Officer/Director/Trustee Two

FRANK PETERSON
PRESIDENT
2525 E SOUTHLAKE BLVD
SOUTHLAKE TX 76092

Officer/Director/Trustee Three

JANICE GADDIE
SECRETARY/TREASURER
2525 E SOUTHLAKE BLVD
SOUTHLAKE TX 76092

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/12
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M60 - Public Safety
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 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 PIETER HYE
Signature Title CHAIRMAN
Signature Date 4/30/19

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