FORM 1023-EZ for AGAPE CHILDRENS SHELTER HOUSTON

Field Data
EIN 45-4820657
Case Number EO-2015253-000384
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AGAPE CHILDRENS SHELTER HOUSTON
Organization’s Mailing Address 21418 WILDCROFT DR
City KATY
State TX
ZIP 77449
Accounting period End 12
Primary contact name NICOLE SIMMONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NICOLE SIMMONS
PRESIDENT
21418 WILDCROFT DR
KATY TX 77449

Officer/Director/Trustee Two

ASHLEY HARRIS
TREASURER
21418 WILDCROFT DR
KATY TX 77449

Officer/Director/Trustee Three

KIMBERLY SMITH
FUNDRAISING COORDINATOR
21418 WILDCROFT DR
KATY TX 77449

Officer/Director/Trustee Four

YVETTE THUMBUTU
SECRETARY
21418 WILDCROFT DR
KATY TX 77449

Officer/Director/Trustee Five

JELALA SIMPSON
PROGRAMS COORDINATOR
21418 WILDCROFT DR
KATY TX 77449

Organization’s website
Organization’s email AGAPECHILDREN2012@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/2012
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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