FORM 1023-EZ for HEROES OF MIDLOTHIAN FOUNDATION

Field Data
EIN 32-0401026
Case Number EO-2016230-000266
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEROES OF MIDLOTHIAN FOUNDATION
Organization’s Mailing Address PO BOX 1427
City MIDLOTHIAN
State TX
ZIP 76065-1427
Accounting period End 12
Primary contact name SCOTT KOELKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CANDI WANN
PRESIDENT
PO BOX 1427
MIDLOTHIAN TX 76065-1427

Officer/Director/Trustee Two

TOBY GONZALES
TREASURER
PO BOX 1427
MIDLOTHIAN TX 76065-1427

Officer/Director/Trustee Three

SCOTT KOELKER
DIRECTOR
PO BOX 1427
MIDLOTHIAN TX 76065-1427

Officer/Director/Trustee Four

BRYAN RURY
DIRECTOR
PO BOX 1427
MIDLOTHIAN TX 76065-1427

Officer/Director/Trustee Five

CHRIS DAUBITZ
DIRECTOR
PO BOX 1427
MIDLOTHIAN TX 76065-1427

Organization’s website WWW.HEROESOFMIDLOTHIAN.ORG
Organization’s email INFO@HEROESOFMIDLOTHIAN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2013
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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