FORM 1023-EZ for FORM A TRUST FOUNDATION

Field Data
EIN 83-1115466
Case Number EO-2018190-000366
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORM A TRUST FOUNDATION
Organization’s Mailing Address 9810 KIRKSTONE TERRACE DRIVE
City SPRING
State TX
ZIP 77379
Accounting period End 12
Primary contact name RACHEL FARINELLI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS HOLLOWAY
TREASURER
9810 KIRKSTONE TERRACE DRIVE
SPRING TX 77379

Officer/Director/Trustee Two

MELODY JONES
VICE PRESIDENT
21738 CANYON PEAK LANE
SPRING TX 77379

Officer/Director/Trustee Three

RACHEL FARINELLI
PRESIDENT
9810 KIRKSTONE TERRACE DRIVE
SPRING TX 77379

Organization’s website FORMATRUST.ORG
Organization’s email INFO@FORMATRUST.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
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 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 RACHEL FARINELLI
Signature Title PRESIDENT
Signature Date 7/5/18

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