FORM 1023-EZ for SIGNIS NORTH AMERICA

Field Data
EIN 84-3858994
Case Number EO-2019340-000252
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIGNIS NORTH AMERICA
Organization’s Mailing Address 3006 POST RIVER RD
City CEDAR PARK
State TX
ZIP 78613
Accounting period End 12
Primary contact name HELEN R OSMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANK FROST
PRESIDENT
6872 CHELSEA ROAD
MCLEAN VA 22101

Officer/Director/Trustee Two

EDWARD SIEBERT
BOARD MEMBER
1 LMU DR MS 8427
LOS ANGELES CA 90045-0041

Officer/Director/Trustee Three

ROSE PACATTE
SECRETARY
3908 SEPULVEDA BLVD
CULVER CITY CA 90230

Officer/Director/Trustee Four

SHERRY BROWNRIGG
BOARD MEMBER
120 N 163 ST
OMAHA NE 68118

Organization’s website
Organization’s email HELEN.OSMAN@SIGNIS.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W03 - Professional Societies, Associations
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 Yes
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 FRANK FROST
Signature Title PRESIDENT
Signature Date 12/4/2019

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