FORM 1023-EZ for CENTRAL TEXAS ASSOCIATION FOR HEALTHCARE QUALITY

Field Data
EIN 46-2022403
Case Number EO-2015070-000866
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTRAL TEXAS ASSOCIATION FOR HEALTHCARE QUALITY
Organization’s Mailing Address PO BOX 2764
City CEDAR PARK
State TX
ZIP 78630
Accounting period End 12
Primary contact name LAURI RUSSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIT THOMPSON
PRESIDENT
PO BOX 2764
CEDAR PARK TX 78630

Officer/Director/Trustee Two

LAURI RUSSELL
SWCRETARY/TREASURER
PO BOX 2764
CEDAR PARK TX 78630

Officer/Director/Trustee Three

KIM WIRTH
COMMUNICATION/NOMINATION COMMITTEE
PO BOX 2764
CEDAR PARK TX 78630

Officer/Director/Trustee Four

ROBIN LOWELL
EDUCATION
PO BOX
2764 TX 78634

Organization’s website HTTP://CENTRALTXQUALITY.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2013
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
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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