FORM 1023-EZ for FORGOTTEN SINNERS

Field Data
EIN 45-3387128
Case Number EO-2015163-000521
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FORGOTTEN SINNERS
Organization’s Mailing Address 2122 E SAM HOUSTON PKWY NO 1315
City PASADENA
State TX
ZIP 77503-3474
Accounting period End 12
Primary contact name ROD WALSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROD WALSH
PRESIDENT
2122 E SAM HOUSTON PKWY NO 1315
PASADENA TX 77503-3474

Officer/Director/Trustee Two

FRED ADDINGTON
SECRETARY
16023 HICKORY KNOLL
HOUSTON TX 77059-5772

Officer/Director/Trustee Three

KIRK HAYES
DIRECTOR
822 PRAIRIE BROOK CT
HOUSTON TX 77062-2198

Officer/Director/Trustee Four

MARK WALTENBAUGH
DIRECTOR
14906 BEECHURST DR
HOUSTON TX 77062-2804

Officer/Director/Trustee Five

SIDNEY VAUGHN
DIRECTOR
912 MISSISSIPPI ST
SOUTH HOUSTON TX 77587-4840

Organization’s website WWW.FORGOTTENSINNERS.COM
Organization’s email FORGOTTENSINNERS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2011
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I40 - Rehabilitation Services for Offenders
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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