FORM 1023-EZ for PALMER HOUSE

Field Data
EIN 47-3086888
Case Number EO-2015331-000243
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PALMER HOUSE
Organization’s Mailing Address 1926 EASTFIELD DR
City MISSOURI CITY
State TX
ZIP 77459
Accounting period End 12
Primary contact name CAROLE SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAROLE SMITH
PRESIDENT
PO BOX 17593
SUGAR LAND TX 77496

Officer/Director/Trustee Two

CHANDA WASHINGTON
SECRETARY
5638 ELM SPRING
HOUSTON TX 77048

Officer/Director/Trustee Three

CELESTE GOOD
VICE PRESIDENT
10330 COOK ROAD
HOUSTON TX 77099

Officer/Director/Trustee Four

WILLIAM SMITH
ADVISORY BOARD
2506 LENNOX ROAD SE
CONYERS GA 30094

Officer/Director/Trustee Five

TOBY HICKS
TREASURER
2503 WINDING CREEK DR
FRESNO TX 77545

Organization’s website WWW.PALMERHOUSEMINISTRY.ORG
Organization’s email PALMERHOUSEMINISTRY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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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