FORM 1023-EZ for DISTINGUISHED LADIES SAFE FROM VIOLENCE INC

Field Data
EIN 85-3473392
Case Number EO-2021093-000662
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DISTINGUISHED LADIES SAFE FROM VIOLENCE INC
Organization’s Mailing Address P O BOX 540614
City GRAND PRAIRIE
State TX
ZIP 75054
Accounting period End 12
Primary contact name EDRISE NEWTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDRISE M NEWTON
EXECUTIVE DIRECTOR
P O BOX 540614
GRAND PRAIRIE TX 75054

Officer/Director/Trustee Two

VIRGINIA RODRIGUEZ
DIRECTOR-SECRETARY
2800 DELANO
MIDLAND TX 79701

Officer/Director/Trustee Three

JEROME ROGERS
DIRECTOR- TREASURER
2201 MAIN ST SUITE 785
DALLAS TX 75201

Organization’s website WWW.DISTINGUISHEDLADIESSAFEFROMVIOLENCE.ORG
Organization’s email DISTINGUISHEDLADIESSAFEFROMVIO@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
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 No
Correctness Declaration Yes
Signature Name EDRISE M NEWTON
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/2/2021

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