FORM 1023-EZ for DOMINO EFFECT

Field Data
EIN 84-3111304
Case Number EO-2019268-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOMINO EFFECT
Organization’s Mailing Address 11303 SANDHURST DR
City HOUSTON
State TX
ZIP 77048
Accounting period End 12
Primary contact name RODNEY JAMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RODNEY JAMES
PRESIDENT, DIRECTOR
11303 SANDHURST DR
HOUSTON TX 77048

Officer/Director/Trustee Two

CED THOMAS
TREASURER, DIRECTOR
12114 HELVICK CRESCENT
HOUSTON TX 77051

Officer/Director/Trustee Three

KAREN NEWBOLT
SECRETARY, DIRECTOR
PO BOX 7201
CONROE TX 77306

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
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 Yes
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 RODNEY JAMES
Signature Title PRESIDENT, DIRECTOR
Signature Date 9/23/19

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