FORM 1023-EZ for MILLER GROVE CEMETERY ASSOCIATION

Field Data
EIN 47-1481417
Case Number EO-2014260-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MILLER GROVE CEMETERY ASSOCIATION
Organization’s Mailing Address 609 GILMER ST
City SULPHUR SPRINGS
State TX
ZIP 75482
Accounting period End 12
Primary contact name RONALD FLECKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

COY JOHNSON
PRESIDENT
4117 SH 154 S
SULPHUR SPRINGS TX 75482

Officer/Director/Trustee Two

EDWARD CLARK
V.P.
3782 FM 275 S
CUMBY TX 75433

Officer/Director/Trustee Three

BRANDON DARROW
SECRETARY
7820 FM 2653 S
CUMBY TX 75433

Officer/Director/Trustee Four

ELAINE GARMON
TREASURER
5960 CR 1131
CUMBY TX 75433

Officer/Director/Trustee Five

CAROL DUNN
TRUSTEE
14380 FM 1567 W
CUMBY TX 75433

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2010
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y50 - Cemeteries, Burial Services
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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