FORM 1023-EZ for CELEBRATE SHI

Field Data
EIN 47-4273960
Case Number EO-2016193-000348
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CELEBRATE SHI
Organization’s Mailing Address 7520 SWEET MEADOWS DR
City FORT WORTH
State TX
ZIP 76123-1984
Accounting period End 12
Primary contact name WILLIAM CAREY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MISTY WILDER
DIRECTOR
3633 WEST 7TH ST
FORT WORTH TX 76103

Officer/Director/Trustee Two

KAPRITA JOHNSON
DIRECTOR
618 MISSION HILLS DR
ARLINGTON TX 76018

Officer/Director/Trustee Three

TAN GARDNER
DIRECTOR
3917 PYRACANTHA
ARLINGTON TX 76017

Officer/Director/Trustee Four

WILLIAM CAREY
TREASURER
221 N MAIN ST
BONHAM TX 75418

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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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