FORM 1023-EZ for BUCKLE MY BABY 1ST

Field Data
EIN 83-4450853
Case Number EO-2019220-000254
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BUCKLE MY BABY 1ST
Organization’s Mailing Address 12339 GREEN RIDGE DRIVE
City WILLIS
State TX
ZIP 77318
Accounting period End 12
Primary contact name YOKIMA ARIAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YOKIMA ARIAS
PRESIDENT
12339 GREEN RIDGE DRIVE
WILLIS TX 77318

Officer/Director/Trustee Two

WILLIAM LISENBY
VICE PRESIDENT
12339 GREEN RIDGE DRIVE
WILLIS TX 77318

Officer/Director/Trustee Three

SENKA WASHINGTON
OFFICER
5515 FAIR FOREST
HOUSTON TX 77088

Officer/Director/Trustee Four

DERRICK HALL
TREASURER
1010 SUN PRAIRIE DRIVE
ROAD NEWTON TX 77596

Officer/Director/Trustee Five

WENDI HUDSON
SECRETARY
603 BELL ROAD
NEWTON TX 75966

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - Single Organization Support
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name YOKIMA ARIAS
Signature Title PRESIDENT
Signature Date 8/6/19

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