FORM 1023-EZ for MRS LOTTIES PANTRY INC

Field Data
EIN 85-3720526
Case Number EO-2020309-000065
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MRS LOTTIES PANTRY INC
Organization’s Mailing Address 4601 RIVERPARK DRIVE
City FORT WORTH
State TX
ZIP 76137
Accounting period End 12
Primary contact name LORETTA HOWARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORETTA HOWARD
FOUNDER
4601 RIVERPARK DRIVE
FORT WORTH TX 76137

Officer/Director/Trustee Two

DONNA HOWARD WOODS
DIRECTOR
4601 RIVERPARK DRIVE
FORT WORTH TX 76137

Officer/Director/Trustee Three

E FRANKLIN HOWARD
DIRECTOR
8294 RIO VISTA
NORTH RICHLAND HILLS TX 76182

Officer/Director/Trustee Four

EYVETTE TAYLOR
DIRECTOR
7808 ROSWELL COURT
ARLINGTON TX 76002

Officer/Director/Trustee Five

CELICIA PERKINS
DIRECTOR
903 GREENBRIAR LOOP
ROUND ROCK TX 78664

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G20 - Birth Defects and Genetic Diseases
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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 LORETTA HOWARD
Signature Title FOUNDER
Signature Date 11/2/2020

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