FORM 1023-EZ for SELF HELP ADVOCACY AT WORK

Field Data
EIN 83-0377711
Case Number EO-2020188-000700
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SELF HELP ADVOCACY AT WORK
Organization’s Mailing Address 2107 FOLEY DRIVE
City ARLINGTON
State TX
ZIP 76013-5326
Accounting period End 12
Primary contact name TERRI WILLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRI WILLIS
DIRECTOR
5525 YAUPON DRIVE
ARLINGTON TX 76018-1530

Officer/Director/Trustee Two

ROBIN JOHNSON
DIRECTOR
5618 BENT OAKS DRIVE
ARLINGTON TX 76001

Officer/Director/Trustee Three

MICHAEL JOHNSON
DIRECTOR
5618 BENT OAKS DRIVE
ARLINGTON TX 76001

Officer/Director/Trustee Four

THERESIA SHAW
DIRECTOR
2107 FOLEY DRIVE
ARLINGTON TX 76013-5326

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2003
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L20 - Housing Development, Construction, Management
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 Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name THERESIA SHAW
Signature Title DIRECTOR
Signature Date 7/2/2020

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