FORM 1023-EZ for SHAPE UP SUGAR LAND

Field Data
EIN 26-0339206
Case Number EO-2018247-000437
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHAPE UP SUGAR LAND
Organization’s Mailing Address 1318 ROUNDSTONE DR
City RICHMOND
State TX
ZIP 77406
Accounting period End 12
Primary contact name MICHELE BARNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EUGENIA BLOMSTROM
CHAIR
3016 RIVER FERN DR
RICHMOND TX 77469

Officer/Director/Trustee Two

MICHELE BARNES
TREASURER
1318 ROUNDSTONE DR
RICHMOND TX 77406

Officer/Director/Trustee Three

NICOLE VOLEK
SECRETARY
2323 COUNTRY MILE LN
RICHMOND TX 77406

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/07
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHELE BARNES
Signature Title TREASURER
Signature Date 8/30/18

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