FORM 1023-EZ for FATHERHOOD LEADERSHIP INITIATIVE

Field Data
EIN 83-3970170
Case Number EO-2020210-000211
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FATHERHOOD LEADERSHIP INITIATIVE
Organization’s Mailing Address 3990 TEXAS COLLEGE DR
City DALLAS
State TX
ZIP 75241
Accounting period End 12
Primary contact name KEN GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLAS WILLIS
PRESIDENT
3990 TEXAS COLLEGE DR
DALLAS TX 75241

Officer/Director/Trustee Two

SHERIKA OWENS
TREASURY
5500 MCKINNEY PLACE DR APT329
DALLAS TX 75070

Officer/Director/Trustee Three

NORMAN WILLIS SR
VICE PRESIDENT
3990 TEXAS COLLEGE DR
DALLAS TX 75241

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 NICHOLAS WILLIS
Signature Title PRESIDENT
Signature Date 7/22/2020

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