FORM 1023-EZ for FUSION HOUSTON

Field Data
EIN 86-1835221
Case Number EO-2021250-000756
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FUSION HOUSTON
Organization’s Mailing Address 4815 CANYON SHORE DRIVE
City HUMBLE
State TX
ZIP 77396
Accounting period End 12
Primary contact name SHANTAE MOTLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANTAE MOTLEY
PRESIDENT
5311 BEVERLY HILL ST APT 8
HOUSTON TX 77056

Officer/Director/Trustee Two

JANET BONNER
VICE PRESIDENT
3839 DAPHNE ST
HOUSTON TX 77021

Officer/Director/Trustee Three

CHRISTY REHBEIN
SECRETARY
10812 NORTH L STREET
LAPORTE TX 77571

Officer/Director/Trustee Four

JORDAN BONNER
TREASURER
3839 DAPHNE STREET
HOUSTON TX 77021

Officer/Director/Trustee Five

TISHA WILSON
DIRECTOR
4815 CANYON SHORE DRIVE
HUMBLE TX 77396

Organization’s website
Organization’s email FUSIONHOUSTONGROUP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 SHANTAE MOTLEY
Signature Title PRESIDENT
Signature Date 9/5/2021

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