FORM 1023-EZ for ALLIANCE FOUNDATION FOR PROGRESSIVEMENTAL HEALTH

Field Data
EIN 81-4244252
Case Number EO-2020177-000745
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALLIANCE FOUNDATION FOR PROGRESSIVEMENTAL HEALTH
Organization’s Mailing Address 1307 8TH AVENUE - SUITE 310
City FORT WORTH
State TX
ZIP 76104
Accounting period End 12
Primary contact name JOHN REYNOLDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN REYNOLDS
DIRECTOR
6051 DAVIS BLVD BOX 821277
NORTH RICHLAND HILLS TX 76180

Officer/Director/Trustee Two

BRIAN DIXON
DIRECTOR
PO BOX 11886
FORT WORTH TX 76116

Officer/Director/Trustee Three

ANASTASIA TAYLOR
DIRECTOR
6051 DAVIS BLVD BOX 8121277
NORTH RICHLAND HILLS TX 76180

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN REYNOLDS
Signature Title DIRECTOR
Signature Date 6/23/2020

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