FORM 1023-EZ for FIESTAJAM ON THE LAKE MARBLE FALLS

Field Data
EIN 81-1936650
Case Number EO-2016238-000168
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FIESTAJAM ON THE LAKE MARBLE FALLS
Organization’s Mailing Address 3302 VISTA LANE
City MARBLE FALLS
State TX
ZIP 78654
Accounting period End 12
Primary contact name JEANNE EMERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT J LINDER
PRESIDENT
3302 VISTA LANE
MARBLE FALLS TX 78654

Officer/Director/Trustee Two

JOHN ARTHUR MARTINEZ
VICE PRESIDENT
731 DOGWOOD LANE
COTTONWOOD SHORES TX 78657

Officer/Director/Trustee Three

JIM STADDARD
TREASURER
25608 KAHAULA SUNSET CRT
SPICEWOOD TX 78669

Officer/Director/Trustee Four

JEANNE EMERSON
SECRETARY
800 WEST OAK RIDGE DRIVE
MARBLE FALLS TX 78654

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - 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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