FORM 1023-EZ for POLKS DIVINE CARE

Field Data
EIN 47-1507737
Case Number EO-2019067-000340
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POLKS DIVINE CARE
Organization’s Mailing Address 321 WILLOW CREEK DR
City GLENN HEIGHTS
State TX
ZIP 75154
Accounting period End 12
Primary contact name ERICA POLK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERICA POLK
PRESIDENT
321 WILLOW CREEK DRIVE
GLENN HEIGHTS TX 75154

Officer/Director/Trustee Two

ANNIE ROBINSON
SECRETARY
321 WILLOW CREEK DRIVE
GLENN HEIGHTS TX 75154

Officer/Director/Trustee Three

LINDA POLK
VICE PRESIDENT
321 WILLOW CREEK
GLENN HEIGHTS TX 75154

Officer/Director/Trustee Four

RANDY JOHNSON
TREASURER
321 WILLOW CREEK
GLENN HEIGHTS TX 75154

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F40 - Hot Line, Crisis Intervention Services
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 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 ERICA POLK
Signature Title PRESIDENT
Signature Date 3/5/19

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