FORM 1023-EZ for HOUSTON COUNTY YOUTH ASSOCIATION

Field Data
EIN 81-2951744
Case Number EO-2018080-000236
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOUSTON COUNTY YOUTH ASSOCIATION
Organization’s Mailing Address 1008 NORTH PEAR STREET
City CROCKETT
State TX
ZIP 75835
Accounting period End 12
Primary contact name JERRY HOLMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERRY HOLMES
PRESIDENT
1008 NORTH PEAR STREET
CROCKETT TX 75835

Officer/Director/Trustee Two

COREY SIMON
VICE-PRESIDENT
118 WOODLAND CIRCLE
CORCKETT TX 75835

Officer/Director/Trustee Three

COLE ROBISON
AREA REPRESENTATIVE
35010 FM 2076
CROCKETT TX 75835

Organization’s website WWW.HOUSTONCOUNTYFOOTBALL.ORG
Organization’s email CKT75835_28@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/16
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 JERRY HOLMES
Signature Title PRESIDENT
Signature Date 3/19/18

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