FORM 1023-EZ for TARRANT COUNTY INFANT HEALTH NETWORK
| Field | Data |
|---|---|
| EIN | 83-0655262 |
| Case Number | EO-2018190-000225 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | TARRANT COUNTY INFANT HEALTH NETWORK |
| Organization’s Mailing Address | 1101 SOUTH MAIN STREET |
| City | FORT WORTH |
| State | TX |
| ZIP | 76104 |
| Accounting period End | 5 |
| Primary contact name | ANN SALYER-CALDWELL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MISTY WILDER
CHAIRPERSON
7520 SWEET MEADOWS
FORT WORTH TX 76123
Officer/Director/Trustee Two
ANJALI DESAI
CO CHAIR
400 SOUTH JENNINGS
FORT WORTH TX 76104
Officer/Director/Trustee Three
LESLIE HALGREN
TREASURER
1665 FOX LANE
BURLESON TX 76028
Officer/Director/Trustee Four
RACHEL IBARRA
SECRETARY
2650 CLAREMONT
GRAND PRAIRIE TX 75052
Officer/Director/Trustee Five
ANN SALYER-CALDWELL
PAST CHAIR
833 WOODRIDGE DR
FORT WORTH TX 76120
| Organization’s website | TCINFANTHEALTHNETWORK.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/4/15 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E0I - |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | ANN SALYER-CALDWELL |
| Signature Title | PAST CHAIR |
| Signature Date | 7/6/18 |
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