FORM 1023-EZ for 9474 FOUNDATION

Field Data
EIN 83-3491718
Case Number EO-2019050-000347
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 9474 FOUNDATION
Organization’s Mailing Address 2907 TRACY LYNN LANE
City SACHSE
State TX
ZIP 75048
Accounting period End 12
Primary contact name MICHAEL LAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL LAND
DIRECTOR AND PRESIDENT
2907 TRACY LYNN LANE
SACHSE TX 75048

Officer/Director/Trustee Two

HOLT WILLIAMSON
DIRECTOR AND VICE PRESIDENT
6201 BRIDLINGTON CIRCLE
AUSTIN TX 78745

Officer/Director/Trustee Three

COBIE OKAFOR
DIRECTOR AND TREASURER
6215 LOVE DRIVE APARTMENT 2414
IRVING TX 75039

Officer/Director/Trustee Four

JENNIFER GROSS
DIRECTOR AND SECRETARY
6479 WAVERLY WAY
FT WORTH TX 76116

Officer/Director/Trustee Five

BRET TAYLOR
DIRECTOR
8 CHATRI CIRCLE
FOOTHILL RANCH CA 92610

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/31/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 MICHAEL LAND
Signature Title DIRECTOR AND PRESIDENT
Signature Date 2/15/19

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