FORM 1023-EZ for PETTIJOHN MEMORIAL HOUSING

Field Data
EIN 47-4220446
Case Number EO-2015216-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PETTIJOHN MEMORIAL HOUSING
Organization’s Mailing Address 1928 AVENUE K
City PLANO
State TX
ZIP 75074-5261
Accounting period End 8
Primary contact name LEE ANN HUBANKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIE RIVERS
BOARD CHAIR
301 AUTUMN HILL
MURPHY TX 75094-4436

Officer/Director/Trustee Two

LEE ANN HUBANKS
PRESIDENT/CEO
1928 AVENUE K
PLANO TX 75074-5261

Officer/Director/Trustee Three

LINDA MORRISON
VICE-CHAIR AND TREASURER
8609 PALMER COURT
MCKINNEY TX 75070-2793

Officer/Director/Trustee Four

PATRICIA MARTIN
SECRETARY
1509 JAPONICA LANE
PLANO TX 75074-5261

Organization’s website WWW.PLANOCOMMUNITYHOME.ORG/PETTIJOHNPROJECT
Organization’s email PCH@PLANOCOMMUNITYHOME.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L82 - Housing Expense Reduction Support
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
Signature Title
Signature Date

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