FORM 1023-EZ for DR WEAVER HEALTH FITNESS LIFE ENHANCEMENT EDUCATION TRANSFORM CORP

Field Data
EIN 83-3810352
Case Number EO-2019091-000444
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DR WEAVER HEALTH FITNESS LIFE ENHANCEMENT EDUCATION TRANSFORM CORP
Organization’s Mailing Address 100 W CENTRAL TX EXPWY 203
City HARKER HEIGHTS
State TX
ZIP 76548
Accounting period End 3
Primary contact name CARLENE WEAVER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ACQUANETTA PULLINS
RETIRED ARMY
3002 VETERANS
COPPERAS COVE TX 76522

Officer/Director/Trustee Two

MORRIS KNIGHT
RETIRED ARMY
3302 S CLEAR CREEK
KILLEEN TX 76549

Officer/Director/Trustee Three

JOHN BANKS
RETIRED ARMY
800 ENDO TR
HARKER HEIGHTS TX 76548

Officer/Director/Trustee Four

SYLVIA WATERS
REPORTER
1907 NW CR 1040
CORSICANA TX 75110

Officer/Director/Trustee Five

LARRY POLK
PASTOR
2010 BIRCH AVE
LUBBOCK TX 79404

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
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 ACQUANETTA PULLINS
Signature Title RETIRED ARMY
Signature Date 3/27/19

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