FORM 1023-EZ for MID TEX MOD CHAPTER OF DOCOMOMO US

Field Data
EIN 61-1674774
Case Number EO-2016131-000104
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MID TEX MOD CHAPTER OF DOCOMOMO US
Organization’s Mailing Address 1005 ROBERT E LEE RD
City AUSTIN
State TX
ZIP 78704-2026
Accounting period End 12
Primary contact name RILEY TRIGGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LINDSEY DERRINGTON
PRESIDENT
934 E 55TH STREET
AUSTIN TX 78751

Officer/Director/Trustee Two

SARA LUDUENA
TREASURER
5207 EVANS AVENUE APARTMENT B
AUSTIN TX 78751

Officer/Director/Trustee Three

KELLY LITTLE
SECRETARY
2700 OAK PARK DR
AUSTIN TX 78704

Officer/Director/Trustee Four

STUART JOHNSON
VICE PRESIDENT
237 EAST ROSEWOOD AVE
SAN ANTONIO TX 78212

Officer/Director/Trustee Five

RILEY TRIGGS
DIRECTOR
1005 ROBERT E LEE RD
AUSTIN TX 78704-2026

Organization’s website HTTP://WWW.MIDTEXMOD.ORG
Organization’s email MIDTEXASMOD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2011
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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