FORM 1023-EZ for SAINT ANDREWS FACILITY FOR ENRICHMENT AND REVITALIZATION - SAFER

Field Data
EIN 47-4997735
Case Number EO-2015363-000043
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAINT ANDREWS FACILITY FOR ENRICHMENT AND REVITALIZATION - SAFER
Organization’s Mailing Address 115 MURCHISON STREET / PO BOX 108
City ATHENS
State TX
ZIP 75751
Accounting period End 12
Primary contact name DR JAMES K JOHNSON PMP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VERNON C JOHNSON
CHAIRMAN ADVISORY COMMITTEE
146 CROSSTIMBERS ROAD
DENISON TX 75720

Officer/Director/Trustee Two

DAVID WILKINSON
CHAIRMAN BOARD OF DIRECTORS
4811 SW GREEN OAKS BLVD
ARLINGTON TX 76017

Officer/Director/Trustee Three

RUSSELL B HILL
MEMBER BOARD OF DIRECTORS
608 W FM1407
SHERMAN TX 75092

Officer/Director/Trustee Four

RANDALL L HOWARD
MEMBER BOARD OF DIRECTORS
17208 TOWNSLEY COURT
DALLAS TX 75248

Officer/Director/Trustee Five

JAMES K JOHNSON
OPERATIONS DIRECTOR
42709 POCOSIN COURT
BRAMBLETON VA 20148-7342

Organization’s website WWW.SAFERHOUSE.ORG
Organization’s email KEITH.JOHNSON@SAFERHOUSE.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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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