FORM 1023-EZ for RUBYS WELLSPRING OF HOPE FOUNDATION

Field Data
EIN 84-5118121
Case Number EO-2020083-000453
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RUBYS WELLSPRING OF HOPE FOUNDATION
Organization’s Mailing Address 607 BURTON AVE
City LUFKIN
State TX
ZIP 75904
Accounting period End 12
Primary contact name SHANIQUA DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANIQUA DAVIS
OWNER
706 BURTON AVE
LUFKIN TX 75904

Officer/Director/Trustee Two

JIMMIE DAVIS
DIRECTOR
607 BURTON AVE
LUFKIN TX 75904

Officer/Director/Trustee Three

DR ANN DOYLE-ANDERSON
DIRECTOR
910 VIRGINIA AVENUE
NACOGDOCHES TX 75964

Officer/Director/Trustee Four

SHEKIA JEFFERY
DIRECTOR
105 RANCHO MIRAGE CT
LUFKIN TX 75904

Officer/Director/Trustee Five

MARSHA POOLE
OFFICER
412 CHURCH ST
LUFKIN TX 75901

Organization’s website
Organization’s email SHANIQUAJEFFERY@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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 MARSHA POOLE
Signature Title OFFICER
Signature Date 3/20/2020

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