FORM 1023-EZ for SIMPLY CLEAN WATER PROJECT FOUNDATION

Field Data
EIN 81-4896670
Case Number EO-2017191-000118
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIMPLY CLEAN WATER PROJECT FOUNDATION
Organization’s Mailing Address 1842 S GESSNER ROAD
City HOUSTON
State TX
ZIP 77063
Accounting period End 12
Primary contact name ELIZABETH PAXSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH PAXSON
PRESIDENT
1842 S GESSNER ROAD
HOUSTON TX 77063

Officer/Director/Trustee Two

H RAY NEWMYER
DIRECTOR
11481 2ND AVE
HOOPER TX 81136

Officer/Director/Trustee Three

GREG SAMUEL HARRISON
SECRETARY
1 GREENWAY PLAZA SUITE 100
HOUSTON TX 77046

Organization’s website WWW.SIMPLYCLEANWATERPROJECT.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2017
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 No
Conducting Activities Outside of United States Yes
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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