FORM 1023-EZ for LILLIAN SMITH FAMILY VIOLENCE FOUNDATION

Field Data
EIN 33-1134321
Case Number EO-2016125-000172
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LILLIAN SMITH FAMILY VIOLENCE FOUNDATION
Organization’s Mailing Address 436 YACHT CLUB DRIVE UNIT F
City ROCKWALL
State TX
ZIP 75032-5752
Accounting period End 12
Primary contact name JJ SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JJ SMITH
PRESIDENT
436 YACHT CLUB DRIVE
ROCKWALL TX 75032-5752

Officer/Director/Trustee Two

ROXANA SMITH
VICE PRESIDENT
436 YACHT CLUB DRIVE
ROCKWALL TX 75032-5752

Officer/Director/Trustee Three

ADRIENNE WILLIAMS
SECRETARY
265 TRAVERTINE DRIVE
RIPON CA 95366-9691

Organization’s website WWW.LILLIANSMITH.ORG
Organization’s email INFO@LILLIANSMITH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/2006
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R28 - Children's Rights
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 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
Signature Title
Signature Date

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