FORM 1023-EZ for ROADHAUS SUPERVISED VISITATION INC

Field Data
EIN 83-1313610
Case Number EO-2018206-000338
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROADHAUS SUPERVISED VISITATION INC
Organization’s Mailing Address 718 E 38TH STREET
City HOUSTON
State TX
ZIP 77022-4708
Accounting period End 12
Primary contact name MARILYN WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARREN HAUSEY
PRESIDENT
718 E 38TH ST
HOUSTON TX 77022-4708

Officer/Director/Trustee Two

CAROLYN HAUSEY
SECRETARY
718 E 38TH ST
HOUSTON TX 77022-4708

Officer/Director/Trustee Three

TIMOTHY RILEY
TREASURER
7700 CREEKBEND APT 53
HOUSTON TX 77071

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 DARREN HAUSEY
Signature Title PRESIDENT
Signature Date 7/23/18

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