FORM 1023-EZ for JOSEPHS WAREHOUSE

Field Data
EIN 86-2636496
Case Number EO-2021123-000410
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JOSEPHS WAREHOUSE
Organization’s Mailing Address 212 DUNCAN STREET PO BOX 532
City HILLSBORO
State TX
ZIP 76645
Accounting period End 12
Primary contact name BILLY CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOROTHY CLARK
PRESIDENT & DIRECTOR
202 CLOVERDALE STREET
HILLSBORO TX 76645

Officer/Director/Trustee Two

FRANCENDIA EATON
TREASURER & DIRECTOR
1107 PARK DRIVE
HILLSBORO TX 76645

Officer/Director/Trustee Three

BILLY CLARK
SECRETARY & DIRECTOR
202 CLOVERDALE STREET
HILLSBORO TX 76645

Officer/Director/Trustee Four

CHARLES EATON
DIRECTOR
1107 PARK DRIVE
HILLSBORO TX 76645

Officer/Director/Trustee Five

CHARLES SMITH
DIRECTOR
108 PAUL STREET
HILLSBORO TX 76645

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2021
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 DOROTHY CLARK
Signature Title PRESIDENT & DIRECTOR
Signature Date 4/30/2021

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