FORM 1023-EZ for PATRICIA RILEY BENEFIT INC

Field Data
EIN 82-4662429
Case Number EO-2019037-000374
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PATRICIA RILEY BENEFIT INC
Organization’s Mailing Address 605 N DALLAS STREET
City ENNIS
State TX
ZIP 75119
Accounting period End 12
Primary contact name BRIAN J SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN SMITH
DIRECTOR
301COMMERCE STREET STE 3500
FORT WORTH TX 76102

Officer/Director/Trustee Two

CHARLCIE WADDLE
DIRECTOR
301 COMMERCE STREET STE 3500
FORT WORTH TX 76102

Officer/Director/Trustee Three

ERIC JESSUP
DIRECTOR
301 COMMERCE STREET STE 3500
FORT WORTH TX 76102

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H30 - Cancer Research
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 BRIAN SMITH
Signature Title DIRECTOR
Signature Date 12/31/18

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