FORM 1023-EZ for TEXAS HEALTHY AT HOME
| Field | Data |
|---|---|
| EIN | 81-4241570 |
| Case Number | EO-2016302-000339 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | TEXAS HEALTHY AT HOME |
| Organization’s Mailing Address | 1341 W MOCKINGBIRD LANE SUITE 1000W |
| City | D |
| State | TX |
| ZIP | 75247-6913 |
| Accounting period End | 9 |
| Primary contact name | JACQUELINE WEST |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JACQUELINE WEST
DIRECTOR
1341 W MOCKINGBIRD LANE STE 1000W
DALLAS TX 75247-6913
Officer/Director/Trustee Two
DONALD SMITH
DIRECTOR
1500 N MAIN ST STE 200
FORT WORTH TX 76164-8929
Officer/Director/Trustee Three
JOSE GONZALEZ
DIRECTOR
301 W RAILROAD ST
WESLACO TX 78596-5104
| Organization’s website | |
|---|---|
| Organization’s email | JWEST@CCGD.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/14/2016 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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 | 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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