FORM 1023-EZ for STEM INNOVATIONS INC

Field Data
EIN 81-3765422
Case Number EO-2017209-000250
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STEM INNOVATIONS INC
Organization’s Mailing Address P O BOX 3323
City FORNEY
State TX
ZIP 75126
Accounting period End 8
Primary contact name ADLENA MICHELLE JACOBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADLENA MICHELLE JACOBS
CHEIF EXECUTIVE OFFICER
2036 KINGSBRIDGE
HEARTLAND TX 75126

Officer/Director/Trustee Two

PHELP BENJAMIN
VICE CHAIR OFFICER- EXECUTIVE DIREC
218 SUN TIDE DR
SUNNYVALE TX 75182

Officer/Director/Trustee Three

CHRISTOPHER BENJAMIN
BOARD CHAIR-EXECUTIVE DIRECTOR OF C
2924 HORIZON DR APT 2
WEST LAFAYETTE IN 47906

Officer/Director/Trustee Four

ROGER MAE BENJAMIN
SECRETARY
218 SUN TIDE
SUNNYVALE TX 75182

Officer/Director/Trustee Five

RODNEY JACOBS
FUNDRAISER OFFICER
2036 KINGSBRIDGE
HEARTLAND TX 75126

Organization’s website WWW.STEMINNOVATIONS.ORG
Organization’s email S_I@STEMINNOVATIONS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 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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