FORM 1023-EZ for KENZIES HOUSE INC

Field Data
EIN 81-5113049
Case Number EO-2017053-000088
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KENZIES HOUSE INC
Organization’s Mailing Address 500 HARDING LANE
City LAVON
State TX
ZIP 75166
Accounting period End 12
Primary contact name ANDY TRUSEVICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE JACKSON
PRESIDENT
500 HARDING LANE
LAVON TX 75166

Officer/Director/Trustee Two

CAMILLE REESE
SECRETARY
713 TWIN VALLEY DRIVE
MURPHY TX 75094

Officer/Director/Trustee Three

MICHAEL REESE
TREASURER
713 TWIN VALLEY DRIVE
MURPHY TX 75094

Officer/Director/Trustee Four

ANDY TRUSEVICH
DIRECTOR
5748 KATE AVENUE
PLANO TX 75024

Officer/Director/Trustee Five

ROBERT FRIEDMAN
DIRECTOR
4548 BELFORT PLACE
DALLAS TX 75205

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
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 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 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
Signature Title
Signature Date

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