FORM 1023-EZ for STRIVE 2 REGAIN

Field Data
EIN 35-2543871
Case Number EO-2016013-000468
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STRIVE 2 REGAIN
Organization’s Mailing Address 2929 WESLAYAN STREET APT 2805
City HOUSTON
State TX
ZIP 77027
Accounting period End 12
Primary contact name KIMBERLY MAC NAMEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIMBERLY MAC NAMEE
DIRECTOR, PRESIDENT
2929 WESLAYAN STREET
HOUSTON TX 77027

Officer/Director/Trustee Two

KRISTA MANOR
DIRECTOR, SECRETARY
1579 84TH STREET
NEW RICHMOND WI 54017

Officer/Director/Trustee Three

LAUREN SCHULTZ
DIRECTOR
716 ARAPAHOE RD UNIT B
BOULDER CO 80302

Organization’s website STRIVE2REGAIN.ORG
Organization’s email INFO@STRIVE2REGAIN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
One Third Support Gifts No
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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