FORM 1023-EZ for OPAL J SMITH FOOD PANTRY RESALE SHOP AND BALCH SPRINGS FOUNDERS DA

Field Data
EIN 81-2280962
Case Number EO-2016126-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OPAL J SMITH FOOD PANTRY RESALE SHOP AND BALCH SPRINGS FOUNDERS DA
Organization’s Mailing Address 2919 BALCH SPRINGS ROAD
City BALCH SPRINGS
State TX
ZIP 75180
Accounting period End 12
Primary contact name CARRIE MARSHALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALI RAZA
PRESIDENT
1515 S PEACHTREE RD SUITE A
BALCH SPRINGS TX 75180

Officer/Director/Trustee Two

BRANDI RODGERS
VICE PRESIDENT
3636 SHEPHERD LN
BALCH SPRINGS TX 75180

Officer/Director/Trustee Three

LAUREN GRADY JOHNSON
SECRETARY
18777 MIDWAY RD NO 14
DALLAS TX 75287

Officer/Director/Trustee Four

JOSE GAMEZ
TREASURER
11133 LIMESTONE
BALCH SPRINGS TX 75180

Officer/Director/Trustee Five

PASTOR LONNIE GOODWIN
CHAPLIN
12618 SUMMER HILL
BALCH SPRINGS TX 75180

Organization’s website
Organization’s email CMARSHALL@CITYBALCHSPRINGS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K11 - Single Organization Support
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 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 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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