FORM 1023-EZ for GODS HOUSE OF REPRESENTATIVES FOUNDATION

Field Data
EIN 86-3930726
Case Number EO-2021148-000055
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GODS HOUSE OF REPRESENTATIVES FOUNDATION
Organization’s Mailing Address 4423 LAKESHORE FOREST DRIVE
City MISSOURI CITY
State TX
ZIP 77459
Accounting period End 12
Primary contact name ALCENA MOUTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD KELLY
CEO
4614 TRAIL LAKE DRIVE
HOUSTON TX 77045

Officer/Director/Trustee Two

ALCENA MOUTON
COO
4423 LAKESHORE FOREST DRIVE
MISSOURI CITY TX 77459

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2021
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 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 EDWARD KELLY
Signature Title CEO
Signature Date 5/20/2021

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