FORM 1023-EZ for X-SOLDIERS HAVEN

Field Data
EIN 85-3100093
Case Number EO-2020273-000942
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name X-SOLDIERS HAVEN
Organization’s Mailing Address 1220 STATLER BEND
City PFLUGERVILLE
State TX
ZIP 78660
Accounting period End 12
Primary contact name DAVERICK ISAAC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAY WASHINGTON
BOARD CHAIRMAN
1220 STATLER ROAD
PFLUGERVILLE TX 78660

Officer/Director/Trustee Two

DENISE DUNKINS
BOARD MEMBER
14503 DEAF SMITH BLVD
AUSTIN TX 78725

Officer/Director/Trustee Three

ALVIN QUINTON
BOARD MEMBER
600 WESTINGHOUSE ROAD
GEORGETOWN TX 78626

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 RAY WASHINGTON
Signature Title BOARD CHAIRMAN
Signature Date 9/27/2020

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