FORM 1023-EZ for 111 RS SPECIAL FUND

Field Data
EIN 46-1911123
Case Number EO-2018008-000268
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 111 RS SPECIAL FUND
Organization’s Mailing Address 14657 SNEIDER
City HOUSTON
State TX
ZIP 77034
Accounting period End 10
Primary contact name ROBERT IVY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT IVY
TREASURER
5107 BIG SPRING DR
PEARLAND TX 77584

Officer/Director/Trustee Two

ANTHONY FORE
PRESIDENT
14657 SNEIDER
HOUSTON TX 77034

Officer/Director/Trustee Three

LEVON SMITH
VICE PRESIDENT
14657 SNEIDER
HOUSTON TX 77034

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/13
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBERT IVY
Signature Title TREASURER
Signature Date 1/5/18

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