FORM 1023-EZ for BLESSED ASSURANCE CHILDRENS SHELTER

Field Data
EIN 84-3868922
Case Number EO-2020003-000163
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLESSED ASSURANCE CHILDRENS SHELTER
Organization’s Mailing Address 20011 FM 1847
City RIO HONDO
State TX
ZIP 78583
Accounting period End 12
Primary contact name RODERICK BATSON JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RODERICK BATSON JR
PRESIDENT/DIRECTOR
20011 FM 1847
RIO HONDO TX 78583

Officer/Director/Trustee Two

MINERVA MARIE TRAYA
DIRECTOR
20011 FM 1847
RIO HONDO TX 78583

Officer/Director/Trustee Three

JAMES TRAYA JR
DIRECTOR
20011 FM 1847
RIO HONDO TX 78583

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
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 Yes
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 RODERICK BATSON JR
Signature Title PRESIDENT/DIRECTOR
Signature Date 12/31/2019

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