FORM 1023-EZ for INITIATIVE NETWORK INC

Field Data
EIN 47-2308651
Case Number EO-2014328-000208
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INITIATIVE NETWORK INC
Organization’s Mailing Address 5470 ELLSWORTH AVE
City DALLAS
State TX
ZIP 75206
Accounting period End 12
Primary contact name GLENN T GILLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GRANT SKELDON
PRESIDENT
5759 PINELAND DR 2107
DALLAS TX 75231

Officer/Director/Trustee Two

JON PENDERGRASS
VP
2736 BIRCH PARK DR
RICHLAND HILLS TX 76118

Officer/Director/Trustee Three

CHELSEA VAUGHN
SECRETARY
3000 MOUNTAIN CREEK PKWY 1427
DALLAS TX 75211

Officer/Director/Trustee Four

IAN HARBER
EXEC DIRECTOR
3000 MOUNTAIN CREEK PKWY 1427
DALLAS TX 75211

Officer/Director/Trustee Five

CONNOR CRUMPTON
EXEC DIRECTOR
3000 MOUNTAIN CREEK PKWY 1427
DALLAS TX 75211

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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