FORM 1023-EZ for DFW WEST EMDRIA REGIONAL NETWORK

Field Data
EIN 81-4403539
Case Number EO-2016326-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DFW WEST EMDRIA REGIONAL NETWORK
Organization’s Mailing Address 5628 SW GREEN OAKS BLVD STEB
City ARLINGTON
State TX
ZIP 76017
Accounting period End 12
Primary contact name SUSAN R DALRYMPLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN DALRYMPLE
COORDINATOR
5628 SW GREEN OAKS BLVD STEB
ARLINGTON TX 76017

Organization’s website
Organization’s email SUSAN@PATHWAYSDFW.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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