FORM 1023-EZ for TRICORE FOUNDATION

Field Data
EIN 82-1841552
Case Number EO-2017184-000069
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRICORE FOUNDATION
Organization’s Mailing Address 6232 GLENNOX LANE
City DALLAS
State TX
ZIP 75214
Accounting period End 12
Primary contact name BRADFORD G RODRIGUES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRADFORD RODRIGUES
PRESIDENT/FOUNDER
6232 GLENNOX LAN
DALLAS TX 75214

Officer/Director/Trustee Two

KAREN RODRIGUES
TREASURER/DIRECTOR
6232 GLENNOX LAN
DALLAS TX 75214

Officer/Director/Trustee Three

ROBERT RODRIGUES
SECRETARY/DIRECTOR
7141 KENDALLWOOD DRIVE
DALLAS TX 75240

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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