FORM 1023-EZ for DEMENTIA FRIENDLY COMMUNITY

Field Data
EIN 47-1182703
Case Number EO-2015163-000517
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DEMENTIA FRIENDLY COMMUNITY
Organization’s Mailing Address 17879 COUNTY ROAD 381
City TERRELL
State TX
ZIP 75161
Accounting period End 12
Primary contact name SHERRIE TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHERRIE TAYLOR
PRESIDENT
17879 COUNTY ROAD 381
TERRELL TX 75161-0416

Officer/Director/Trustee Two

MIKE TAYLOR
VICE PRESIDENT
17879 COUNTY ROAD 381
TERRELL TX 75161-0416

Officer/Director/Trustee Three

JOYCE LANE
SEC/TREASURER
17879 COUNTY ROAD 381
TERRELL TX 75161-0416

Organization’s website WWW.DEMENTIAFC.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
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 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 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
Signature Title
Signature Date

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