FORM 1023-EZ for AMBASSADOR UPRISING FAMILY LIFE CENTER

Field Data
EIN 83-2998659
Case Number EO-2019043-000034
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMBASSADOR UPRISING FAMILY LIFE CENTER
Organization’s Mailing Address 10105 SIERRA DRIVE
City HOUSTON
State TX
ZIP 77051
Accounting period End 12
Primary contact name CHERYL D MILLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERYL MILLS
BOARD PRESIDENT
10105 SIERRA DRIVE
HOUSTON TX 77051

Officer/Director/Trustee Two

JENNIFER LEWIS
BOARD VICE PRESIDENT
9815 SUMMER BREEZE
PEARLAND TX 77584

Officer/Director/Trustee Three

SANDRA BROWN
BOARD SECRETARY/TREASURER
16706 LIMESTONE LANE
HOUSTON TX 77044

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/18
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: Yes
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 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 CHERYL MILLS
Signature Title BOARD PRESIDENT
Signature Date 2/8/19

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