FORM 1023-EZ for POLYTECHNIC HEIGHTS NEIGHBORHOOD ASSOCIATION INCORPORATED

Field Data
EIN 83-2193082
Case Number EO-2019072-000317
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POLYTECHNIC HEIGHTS NEIGHBORHOOD ASSOCIATION INCORPORATED
Organization’s Mailing Address 3000 SOUTH HULEN 124-249
City FORT WORTH
State TX
ZIP 76109
Accounting period End 12
Primary contact name LAWRENCE WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAWRENCE WALKER
PRESIDENT
3000 SOUTH HULEN 124-249
FORT WORTH TX 76109

Officer/Director/Trustee Two

CHRISTOPHER JOHNSON
VICE PRESIDENT
3000 SOUTH HULEN 124-249
FORT WORTH TX 76109

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A03 - Professional Societies, Associations
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 LAWRENCE WALKER
Signature Title PRESIDENT
Signature Date 3/9/19

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