FORM 1023-EZ for DAX SLATE AMELOGENESIS IMPERFECTA FOUNDATION
| Field | Data |
|---|---|
| EIN | 85-3639676 |
| Case Number | EO-2020318-000065 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | DAX SLATE AMELOGENESIS IMPERFECTA FOUNDATION |
| Organization’s Mailing Address | 1300 POST OAK SUITE 2400 |
| City | HOUSTON |
| State | TX |
| ZIP | 77056-3044 |
| Accounting period End | 12 |
| Primary contact name | CARA LOOPER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CARA LOOPER
DIRECTOR, PRESIDENT
4534 LIVE OAK STREET
BELLAIRE TX 77401
Officer/Director/Trustee Two
JOAN ERICKSON
DIRECTOR
5202 PINE STREET
BELLAIRE TX 77401
Officer/Director/Trustee Three
SELENA NIX
DIRECTOR, TREASURER
348 NEWSOME MOUND ROAD
WEATHERFORD TX 76085
Officer/Director/Trustee Four
TAMI SLATE
DIRECTOR
PO BOX 720
AZLE TX 76098
| Organization’s website | |
|---|---|
| Organization’s email | caralooper@hlpartners.net |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/26/2020 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G12 - Fund Raising and/or Fund Distribution |
| 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 | 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 | Yes |
| 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 | CARA LOOPER |
| Signature Title | DIRECTOR, PRESIDENT |
| Signature Date | 11/11/2020 |
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