FORM 1023-EZ for CHI EPSILON-135 TEXAS AM UNIVERSITY-KINGSVILLE

Field Data
EIN 27-3248954
Case Number EO-2014267-000343
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHI EPSILON-135 TEXAS AM UNIVERSITY-KINGSVILLE
Organization’s Mailing Address BOX 19316
City ARLINGTON
State TX
ZIP 76016-0316
Accounting period End 8
Primary contact name GLENN GLOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GLENN GLOSS
EXECUTIVE SECRETARY
BOX 19316
ARLINGTON TX 76016-0316

Officer/Director/Trustee Two

BREANNA BAILEY
FACULTY ADVISOR
917 WEST AVE B RM 376
KINGSVILLE TX 78363

Officer/Director/Trustee Three

JACQUELINE FUENTES
PRESIDENT
917 WEST AVE B RM 376
KINGSVILLE TX 78363

Officer/Director/Trustee Four

JOSHUA RODRIGUEZ
TREASURER
917 WEST AVE B RM 376
KINGSVILLE TX 78363

Officer/Director/Trustee Five

JESSICA FIVEASH
VICE-PRESIDENT
917 WEST AVE B RM 376
KINGSVILLE TX 78363

Organization’s website
Organization’s email XEHQ@CHI-EPSILON.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/2009
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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