FORM 1023-EZ for FITNESS GIVES BACK

Field Data
EIN 84-3568108
Case Number EO-2019310-000097
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FITNESS GIVES BACK
Organization’s Mailing Address 110 SAN ANTONIO ST APT 1125
City AUSTIN
State TX
ZIP 78701-34
Accounting period End 12
Primary contact name DREW GREGG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAITLIN RUSSELL
DIRECTOR
11701 METRIC BLVD APT 215
AUSTIN TX 78758-3206

Officer/Director/Trustee Two

STEPHANIE DUMAREILLE
DIRECTOR
1203 SHELTIE LANE
ROUND ROCK TX 78664-3408

Officer/Director/Trustee Three

MASHELLE ADAMS
DIRECTOR
5988 MALTA CIRCLE
ROUND ROCK TX 78665-4404

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 KAITLIN RUSSELL
Signature Title DIRECTOR
Signature Date 11/4/19

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