FORM 1023-EZ for COWTOWN PROJECT SUCCESS 1

Field Data
EIN 46-1026966
Case Number EO-2015279-000141
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COWTOWN PROJECT SUCCESS 1
Organization’s Mailing Address 501 JONES ST
City FORT WORTH
State TX
ZIP 76102
Accounting period End 12
Primary contact name DONNA ELDRIDGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONNA ELDRIDGE
PROGRAM DIRECTOR
501 JONES ST
FORT WORTH TX 76102

Officer/Director/Trustee Two

SARAH ZINK
BOARD CHAIR OVERSIGHT
610 DAYTON RD
MANSFIELD TX 76063

Officer/Director/Trustee Three

MICHAEL KUZENKA
BOARD MEMBER TREASURER
3128 W BOLT ST
FORT WORTH TX 76110

Officer/Director/Trustee Four

ANGELIA FRANKLIN
BOARD MEMBER GENERAL
2801 DALFORD ST
FORT WORTH TX 76111

Officer/Director/Trustee Five

JANEEN BECKER
BOARD MEMBER GENERAL
4932 PERSCHING AVE
FORT WORTH TX 76107

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2012
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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