FORM 1023-EZ for ST ALYSSA FOUNDATION

Field Data
EIN 47-3786118
Case Number EO-2015205-000532
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ST ALYSSA FOUNDATION
Organization’s Mailing Address 362 CR 008
City ZAVALLA
State TX
ZIP 75980
Accounting period End 12
Primary contact name MICHAEL BISHOP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHNNIE JOHNSON
CHAIRMAN
362 CR 008
ZAVALLA TX 75980

Officer/Director/Trustee Two

ELIZABETH CARDEN
DIRECTOR
420 SECO DRIVE
PORTLAND TX 78374

Officer/Director/Trustee Three

SHANNON MILLER
DIRECTOR
668 CR 785
NACOGDOCHES TX 75943

Officer/Director/Trustee Four

CANDICE LEE GEORGI
DIRECTOR
2308 PEARL ST NO 1
NACOGDOCHES TX 75965

Officer/Director/Trustee Five

JULIO LUIS HERNANDEZ ROBLES
DIRCETOR
EXT MOLENDEZ
B90 FAJARDO PR 00738

Organization’s website
Organization’s email ST ALLYSSAMED@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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