FORM 1023-EZ for AFFECT FAMILY CHILD CARE NETWORK

Field Data
EIN 85-0715214
Case Number EO-2020164-000085
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AFFECT FAMILY CHILD CARE NETWORK
Organization’s Mailing Address 5722 INDIAN HILL DRIVE
City ARLINGTON
State TX
ZIP 76018
Accounting period End 12
Primary contact name JERLETHA MCDONALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERLETHA MCDONALD
PRESIDENT
5722 INDIAN HILL DRIVE
ARLINGTON TX 76018

Officer/Director/Trustee Two

DANYELL SMITH
TREASURER
5722 INDIAN HILL DRIVE
ARLINGTON TX 76018

Officer/Director/Trustee Three

KAMAYA MILLER
SECRETARY
5722 INDIAN HILL DRIVE
ARLINGTON TX 76018

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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 JERLETHA MCDONALD
Signature Title PRESIDENT
Signature Date 6/9/2020

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