FORM 1023-EZ for OMAHA PARK AND RECREATION ASSOCIATION

Field Data
EIN 75-6043085
Case Number EO-2016106-000146
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OMAHA PARK AND RECREATION ASSOCIATION
Organization’s Mailing Address P O BOX 956
City OMAHA
State TX
ZIP 75571
Accounting period End 4
Primary contact name MELANA TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEITH WEST
PRESIDENT
401 SMITH STREET
NAPLES TX 75638

Officer/Director/Trustee Two

TODD MOORE
VICE PRESIDENT
14839 HWY 259N
OMAHA TX 75571

Officer/Director/Trustee Three

NESA FROST
SECRETARY
510 BIG LEAGUE BEND
OMAHA TX 75571

Officer/Director/Trustee Four

ERIC HOWELL
TREASURER
757 CR 4202
DAINGERFIELD TX 75638

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/1965
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 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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