FORM 1023-EZ for MEDJI SHRINERS CHARITABLE FOUNDATION
| Field | Data |
|---|---|
| EIN | 81-4325752 |
| Case Number | EO-2017254-000086 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | MEDJI SHRINERS CHARITABLE FOUNDATION |
| Organization’s Mailing Address | 1632 ARBOR RIDGE DRIVE |
| City | FORT WORTH |
| State | TX |
| ZIP | 76112 |
| Accounting period End | 12 |
| Primary contact name | BENNY TUCKER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BENNY TUCKER
PRESIDENT
1632 ARBOR RIDGE DRIVE
FORT WORTH TX 76112
Officer/Director/Trustee Two
JASON BRADLEY SR
TREASURER
205 CRYSTAL LAKE
DESOTO TX 75115
Officer/Director/Trustee Three
OCTAVIOR WASHINGTON
SECRETARY
3030 PIONEER STREET
FORT WORTH TX 76119
Officer/Director/Trustee Four
JERRY BROWN SR
DIRECTOR
1002 GROVER CT
CEDAR HILL TX 75154
Officer/Director/Trustee Five
CARTER CURTIS JR
DIRECTOR
1313 WHITTENBERG DRIVE
FORT WORTH TX 76134
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/21/2017 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A80 - Historical Societies, Related Historical Activities |
| 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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