FORM 1023-EZ for PROJECT GLORIA

Field Data
EIN 81-5302724
Case Number EO-2017044-000275
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROJECT GLORIA
Organization’s Mailing Address 10212 PINEHURST DRIVE
City AUSTIN
State TX
ZIP 78747
Accounting period End 12
Primary contact name RONNIE RABEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALBERT JOHANSEN
PRESIDENT
10212 PINEHURST DRIVE
AUSTIN TX 78747

Officer/Director/Trustee Two

GARNITA KELLY
TREASURER
10212 PINEHURST DRIVE
AUSTIN TX 78747

Officer/Director/Trustee Three

DIEUDONNE DANG
VICE PRESIDENT
1141 VINCENT PLACE
PFLUGERVILLE TX 78660

Officer/Director/Trustee Four

BEVERLY LEONARD
SECRETARY
10015 LAKE CREEK PARKWAY
AUSTIN TX 78729

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F53 - Eating Disorder, Addiction
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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