FORM 1023-EZ for CAPROCK REGIONAL RESPONSE GROUP

Field Data
EIN 47-5403562
Case Number EO-2015310-000362
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAPROCK REGIONAL RESPONSE GROUP
Organization’s Mailing Address 703 SOUTH LANE
City BROWNFIELD
State TX
ZIP 79316-2723
Accounting period End 12
Primary contact name MICHAEL GARCIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL GARCIA
CHIEF EXECUTIVE OFFICER
5238 ITASCA ST
LUBBOCK TX 79416-1229

Officer/Director/Trustee Two

ZACHARY WILLIAMS
CHIEF OPERATING OFFICER
908 WHEELOCK ST
LUBBOCK TX 79403-1707

Officer/Director/Trustee Three

KENNETH BENTON
CHIEF LOGISTICS OFFICER
6324 7TH ST APT 1
LUBBOCK TX 79416-4068

Officer/Director/Trustee Four

JEFF HOFACKET
CHIEF FINANCIAL OPERATOR/BOARD CHAI
605 NORTH COLTON AVE
LUBBOCK TX 79416-1103

Officer/Director/Trustee Five

ISMAEL GARCIA
EXECUTIVE DIRECTOR
703 SOUTH LANE
BROWNFIELD TX 79316-2723

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief 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 Yes
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 Yes
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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