FORM 1023-EZ for BACKROAD ANGEL

Field Data
EIN 81-5321069
Case Number EO-2017059-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BACKROAD ANGEL
Organization’s Mailing Address 202 FM 115
City MT. VERNON
State TX
ZIP 75457
Accounting period End 12
Primary contact name CAROLYN PATTERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN EYLER
PRESIDENT
4025 ALPINE ST
PARIS TX 75462

Officer/Director/Trustee Two

VALARIE BARELA
VICE-PRESIDENT
202 FM 115
MT. VERNON TX 75457

Officer/Director/Trustee Three

FRANKIE BAKKERS
SECRETARY/TREASURER
167 CR 1127
CUMBY TX 75433

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 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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