FORM 1023-EZ for HSBR ASSOCIATE RELIEF FUND

Field Data
EIN 32-0437641
Case Number EO-2015146-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HSBR ASSOCIATE RELIEF FUND
Organization’s Mailing Address PO BOX 8615
City HORESESHOE BAY
State TX
ZIP 78657
Accounting period End 12
Primary contact name SHANDA HARLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHANDA HARLIN
PRESIDENT
PO BOX 1391
KINGSLAND TX 78639

Officer/Director/Trustee Two

MONICA BUYA
VICE PRESIDENT
105 W HERON DRIVE
HIGHLAND HAVEN TX 78654

Officer/Director/Trustee Three

PAM MONFREY
TREASURER
805 VIA VIEJO
MARBLE FALLS TX 78654

Officer/Director/Trustee Four

ERICKA EASLEY
SECRETARY
136 WINDWAY ROAD
MARBLE FALLS TX 78654

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2012
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family 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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity Yes
Disaster relief assistance Yes
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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