FORM 1023-EZ for NAOMI S WELL

Field Data
EIN 86-2804328
Case Number EO-2021100-000150
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NAOMI S WELL
Organization’s Mailing Address 2702 EAST FIFTH STREET SUITE 409
City TYLER
State TX
ZIP 75701
Accounting period End 9
Primary contact name KATRINA D BROWN ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROL W DIXON
PRESIDENT/CEO
1209 REX LABE
LONGVIEW TX 75605

Officer/Director/Trustee Two

TAMARA STOKER-BYRDSONG
TREASURER/CFO
2704 WOODHAVEN CT
LONGVIEW TX 75605

Officer/Director/Trustee Three

JENNIFER MARTINEZ
SECRETARY
16989 LORING LANE
LORING TX 75771

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2021
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
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 Yes
Correctness Declaration Yes
Signature Name CAROL W DIXON
Signature Title PRESIDENT/CEO
Signature Date 3/24/2021

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