FORM 1023-EZ for MIDLOTHIAN HOME SCHOOL CO-OP

Field Data
EIN 26-2771601
Case Number EO-2018036-000113
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIDLOTHIAN HOME SCHOOL CO-OP
Organization’s Mailing Address 2021 CLEARVIEW DR
City MIDLOTHIAN
State TX
ZIP 76065
Accounting period End 12
Primary contact name GINA RAYBOURN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GINA RAYBOURN
PRESIDENT
2021 CLEARVIEW DR
MIDLOTHIAN TX 76065

Officer/Director/Trustee Two

PAM BLAIR
VICE-PRESIDENT
2021 CLEARVIEW DR
MIDLOTHIAN TX 76065

Officer/Director/Trustee Three

LIS ESPINOZA
SECRETARY
2021 CLEARVIEW DR
MIDLOTHIAN TX 76065

Officer/Director/Trustee Four

GREG ALLEN
TREASURER
2021 CLEARVIEW DR
MIDLOTHIAN TX 76065

Organization’s website
Organization’s email GLRAYBOURN@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/05
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
Religious: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GINA RAYBOURN
Signature Title PRESIDENT
Signature Date 2/1/18

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