FORM 1023-EZ for LEAVENWORTH FAMILY ASSOCIATION

Field Data
EIN 81-4119832
Case Number EO-2017128-000339
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEAVENWORTH FAMILY ASSOCIATION
Organization’s Mailing Address 2817 AVA LANE
City DALLAS
State TX
ZIP 75227
Accounting period End 12
Primary contact name JOHN LEAVENWORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN LEAVENWORTH
PRESIDENT
2817 AVA LANE
DALLAS TX 75227-6710

Officer/Director/Trustee Two

SONDRA LEAVENWORTH
TREASURER
2817 AVA LANE
DALLAS TX 75227-6710

Officer/Director/Trustee Three

ANN LEAVENWORTH
SECRETARY
2817 AVA LANE
DALLAS TX 75227-6710

Officer/Director/Trustee Four

DEBBI CARTER
DIRECTOR
2817 AVA LANE
DALLAS TX 75227-6710

Officer/Director/Trustee Five

CARRIE LEAVENWORTH
DIRECTOR
2817 AVA LANE
DALLAS TX 75227-6710

Organization’s website WWW.LEAVENWORTHFAMILY.ORG
Organization’s email PRESIDENT@LEAVENWORTHFAMILY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/13/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 Yes
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
Signature Title
Signature Date

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