FORM 1023-EZ for HEMPAHOLICS

Field Data
EIN 82-4528413
Case Number EO-2018057-000419
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEMPAHOLICS
Organization’s Mailing Address 5555 E MOCKINGBIRD LANE
City DALLAS
State TX
ZIP 75206
Accounting period End 12
Primary contact name JADEVERETT MAYHORN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JADEVERETT MAYHORN
PRESIDENT
5555 E MOCKINGBIRD LANE
DALLAS TX 75206

Officer/Director/Trustee Two

CINZIA BALLOU
VICE PRESIDENT/EVENT COORDINATOR
5555 E MOCKINGBIRD LANE
DALLAS TX 75206

Officer/Director/Trustee Three

SHERMAN LIVINGSTON
TREASURER
9763 AUDELIA RD
DALLAS TX 75238

Officer/Director/Trustee Four

SIDDIK LARTEY
SECRETARY
1300 ELDORADO PKWY
MCKINNEY TX 75069

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity Yes
Disaster relief assistance Yes
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 JADEVERETT MAYHORN
Signature Title PRESIDENT
Signature Date 2/23/18

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