FORM 1023-EZ for PEYTONS ALLERGY SHIELD OF HOPE

Field Data
EIN 84-3681885
Case Number EO-2019322-000306
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEYTONS ALLERGY SHIELD OF HOPE
Organization’s Mailing Address 1610 REDWATER DRIVE
City AUSTIN
State TX
ZIP 78748
Accounting period End 12
Primary contact name KAMISHA YORK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAMISHA YORK
DIRECTOR AND EXECUTIVE DIRECTOR
1610 REDWATER DRIVE
AUSTIN TX 78748

Officer/Director/Trustee Two

WESLEY YORK
DIRECTOR AND PRESIDENT
1610 REDWATER DRIVE
AUSTIN TX 78748

Officer/Director/Trustee Three

MELAINA GAUTIER
DIRECTOR AND VICE PRESIDENT
1610 REDWATER DRIVE
AUSTIN TX 78748

Officer/Director/Trustee Four

KATRINA TELLO
DIRECTOR AND SECRETARY
1610 REDWATER DRIVE
AUSTIN TX 78748

Officer/Director/Trustee Five

ROSANNA HONEYCUTT
DIRECTOR AND TREASURER
1610 REDWATER DRIVE
AUSTIN TX 78748

Organization’s website
Organization’s email MDGAUTIER74@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/19
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 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 MELAINA GAUTIER
Signature Title DIRECTOR AND VICE PRESIDENT
Signature Date 11/14/19

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