FORM 1023-EZ for MY MISSING PIECES

Field Data
EIN 83-3692109
Case Number EO-2019129-000381
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY MISSING PIECES
Organization’s Mailing Address 7322 SOUTHWEST FRWY - SUITE 800
City HOUSTON
State TX
ZIP 77074-2072
Accounting period End 12
Primary contact name KEITH J DAVIS SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH J DAVIS SR
DIRECTOR
7322 SOUTHWEST FRWY- SUITE 800
HOUSTON TX 77074-2072

Officer/Director/Trustee Two

CHIVON JONES
DIRECTOR
7322 SOUTHWEST FRWY - SUITE 800
HOUSTON TX 77074-2072

Officer/Director/Trustee Three

KIM FLOYD
DIRECTOR
7322 SOUTHWEST FRWY - SUITE 800
HOUSTON TX 77074-2072

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
Donation of funds Yes
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 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 KEITH J DAVIS SR
Signature Title DIRECTOR
Signature Date 5/7/19

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