FORM 1023-EZ for WITH A SERVANTS HEART

Field Data
EIN 84-2823834
Case Number EO-2020015-000309
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WITH A SERVANTS HEART
Organization’s Mailing Address 2233 BRIDLE PATH DR
City LANCASTER
State TX
ZIP 75146
Accounting period End 12
Primary contact name LESLIE WOOTEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LESLIE WOOTEN
PRESIDENT
2233 BRIDLE PATH DR
LANCASTER TX 75146

Officer/Director/Trustee Two

FELICIA WRIGHT
VICE PRESIDENT
2662 PRNCETON DR
LANCASTER TX 75134

Officer/Director/Trustee Three

REGINA WATKINS
SECRETARY
7501 CHESTERFIELS DR APT414
CEDAR HILL TX 75237

Organization’s website
Organization’s email WITHASERVANTSHEART@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LESLIE WOOTEN
Signature Title PRESIDENT
Signature Date 1/13/2020

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