FORM 1023-EZ for TEN FORTY BACKYARD INC

Field Data
EIN 46-3061060
Case Number EO-2015260-000355
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEN FORTY BACKYARD INC
Organization’s Mailing Address 1702 BREEZY BEND DRIVE
City KATY
State TX
ZIP 77494
Accounting period End 12
Primary contact name SIMON LIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SIMON LIN
DIRECTOR
22311 KENT FALLS DRIVE
KATY TX 77450

Officer/Director/Trustee Two

BOB GOMEZ
DIRECTOR
1523 E FM 1717
KINGSVILLE TX 78363-8831

Officer/Director/Trustee Three

TIM DOUGLAS
DIRECTOR
810 GRESHAM ROAD
BROOKSHIRE TX 77423

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2013
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: Yes
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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