FORM 1023-EZ for AT MY SISTERS HOUSE

Field Data
EIN 81-3671729
Case Number EO-2016251-000062
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AT MY SISTERS HOUSE
Organization’s Mailing Address 3982 WITTEN DR
City COLLEYVILLE
State TX
ZIP 76034
Accounting period End 12
Primary contact name GAIL GLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GAIL GLEN
TREASURER
3982 WITTEN DR
COLLEYVILLE TX 76034

Officer/Director/Trustee Two

JIM CROWNOVER
PRESIDENT
26800 E HWY 71
HORSESHOE BAY TX 78657

Officer/Director/Trustee Three

MARY ELLEN MALONE
SECRETARY
5215 EDLEN DR
DALLAS TX 75225

Officer/Director/Trustee Four

RUSSELL TRUE
VICE PRESIDENT
2057 W HEBRON PKWY APT 1621
CARROLLTON TX 75010

Organization’s website MYSISTERS-HOUSE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P32 - Foster Care
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
Signature Title
Signature Date

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