FORM 1023-EZ for HOUSE OF REBIRTH
| Field | Data |
|---|---|
| EIN | 84-4065712 |
| Case Number | EO-2020041-000292 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | HOUSE OF REBIRTH |
| Organization’s Mailing Address | 2302 BURNING LIGHT DR |
| City | DALLAS |
| State | TX |
| ZIP | 75215-5688 |
| Accounting period End | 12 |
| Primary contact name | LETRESE ADKINS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ROBYN CROWE
CEO
3801 MYRTLE
DALLAS TX 75215-3852
Officer/Director/Trustee Two
LATRESE ADKINS
DIRECTOR
3227 GOLDSPIER DR
DALLAS TX 75215-4824
Officer/Director/Trustee Three
RAE NELSON
DIRECTOR
2135 US HIGHWAY 80 E
MESQUITE TX 75150-5529
Officer/Director/Trustee Four
MIEKO HICKS
DIRECTOR
3305 FLAMELEAF
GARLAND TX 75044-6573
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/3/2020 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P88 - LGBTQ Centers |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: Yes Public Safety: Yes Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | Yes |
| Compensation of Officer director trustee | No |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | Yes |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| 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 | ROBYN CROWE |
| Signature Title | CEO |
| Signature Date | 2/6/2020 |
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