FORM 1023-EZ for JEREMIAH 1 AND 5

Field Data
EIN 85-1949611
Case Number EO-2020225-000102
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JEREMIAH 1 AND 5
Organization’s Mailing Address 9609 BIRDVILLE WAY
City FORT WORTH
State TX
ZIP 76244
Accounting period End 12
Primary contact name KATIE DOWDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATIE DOWDEN
DIRECTOR
9609 BIRDVILLE WAY
FORT WORTH TX 76244

Officer/Director/Trustee Two

HOLLI CLARK
DIRECTOR
2027 ALLYSON DRIVE
HEARTLAND TX 75126

Officer/Director/Trustee Three

KADEN GAYLE
DIRECTOR
801 LEGACY DRIVE APT 1814
PLANO TX 75023

Officer/Director/Trustee Four

JOSPEH POST
DIRECTOR
2050 GRAYSON DR APT 13206
GRAPEVINE TX 76051

Officer/Director/Trustee Five

MARITZA MARQUEZ
DIRECTOR
6901 NE LOOP 820 APT 526
NORTH RICHLAND HILLS TX 76180

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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 KATIE DOWDEN
Signature Title DIRECTOR
Signature Date 8/8/2020

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