FORM 1023-EZ for THE LOCKETT FAMILY CHARITABLE FOUNDATION

Field Data
EIN 81-2600362
Case Number EO-2016152-000228
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE LOCKETT FAMILY CHARITABLE FOUNDATION
Organization’s Mailing Address 5632 CANDO DRIVE
City FORT WORTH
State TX
ZIP 76134-2204
Accounting period End 12
Primary contact name JEROME CARLOS JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEROME JOHNSON
BOARD OF DIRECTORS
5632 CANDO DRIVE
FORT WORTH TX 76134-2204

Officer/Director/Trustee Two

JOAN JOHNSON
BOARD OF DIRECTORS
5632 CANDO DRIVE
FORT WORTH TX 76134-2204

Officer/Director/Trustee Three

BETTYE COLLINS
BOARD OF DIRECTORS
1721 TANGLEWOOD COURT
JACKSON MS 39213-7923

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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 No
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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