FORM 1023-EZ for FOUR STATES URBAN DEVELOPMENT PROJECT

Field Data
EIN 81-4956496
Case Number EO-2017030-000536
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOUR STATES URBAN DEVELOPMENT PROJECT
Organization’s Mailing Address 9 REGENCY DRIVE
City TEXARKANA
State AR
ZIP 71854
Accounting period End 12
Primary contact name PHILLIP JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHILLIP JONES
PRESIDENT/DIRECTOR/OFFICER
9 REGENCY
TEXARKANA AR 71854

Officer/Director/Trustee Two

TINA YTZEN
DIRECTOR/OFFICER
9 REGENCY
TEXARKANA AR 71854

Officer/Director/Trustee Three

CARLOS BUTLER
DIRECTOR
1512 KYLE
TEXARKANA AR 71854

Officer/Director/Trustee Four

CLAUDE MOORE
DIRECTOR
9 REGENCY
TEXARKANA AR 71854

Officer/Director/Trustee Five

CHAMILIA DANIELS
DIRECTOR
12919 WINDFREN APARTMENT 3104
HOUSTON TX 77064

Organization’s website
Organization’s email FOURSTATESURBANDEVELOPMENT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/27/2016
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S31 - Urban, Community Economic Development
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 Yes
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 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
Signature Title
Signature Date

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