FORM 1023-EZ for BUCKIN FOR BOOBS

Field Data
EIN 61-1676415
Case Number EO-2014318-000316
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BUCKIN FOR BOOBS
Organization’s Mailing Address PO BOX 132
City FULTON
State TX
ZIP 78358
Accounting period End 12
Primary contact name DAWN HEALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RUSSELL PALMER
PRESIDENT
PO BOX 132
FULTON TX 78358

Officer/Director/Trustee Two

OWEN PITTMAN
VICE-PRESIDENT
PO BOX 132
FULTON TX 78358

Officer/Director/Trustee Three

DAWN HEALD
SECRETARY
PO BOX 132
FULTON TX 78358

Officer/Director/Trustee Four

NANCIE BALDERAS
TREASURER
PO BOX 132
FULTON TX 78358

Officer/Director/Trustee Five

JAIME PITTMAN
DIRECTOR
PO BOX 132
FULTON TX 78358

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2012
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - 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 Yes
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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