FORM 1023-EZ for POWER HOUSE DOLLZ

Field Data
EIN 47-2568021
Case Number EO-2015056-000276
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POWER HOUSE DOLLZ
Organization’s Mailing Address PO BOX 1648
City CONVERSE
State TX
ZIP 78109
Accounting period End 12
Primary contact name TIERRA MCCUTCHEON - RAPER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIERRA MCCUTCHEON - RAPER
PRESIDENT
6631 SAN MIGUEL WAY
CONVERSE TX 78109

Officer/Director/Trustee Two

ANGELA MCCUTCHEON
VP - TREASURER
762 AUDREY LANE
WACO TX 76705

Officer/Director/Trustee Three

NAKA HATTER
SECRETARY
625 OLD MEXIA ROAD
WACO TX 76705

Officer/Director/Trustee Four

OLIVIA LATOUCHE
DIRECTOR
2627 PINE
WACO TX 76708

Officer/Director/Trustee Five

TIYCHEREGINA SMITH
DIRECTOR
4534 NORTH 19 APT 4534
WACO TX 76708

Organization’s website WWW.PHDOLLZ.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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
Signature Title
Signature Date

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