FORM 1023-EZ for LA GRANGE BAPTIST DISTRICT ASSOCIATION OF TEXAS

Field Data
EIN 74-2618369
Case Number EO-2017090-000355
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LA GRANGE BAPTIST DISTRICT ASSOCIATION OF TEXAS
Organization’s Mailing Address 2748 COUNTY ROAD 133
City GIDDINGS
State TX
ZIP 78942
Accounting period End 12
Primary contact name DOUGLAS THIELEMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REV SAMUEL L ROSS
MODERATOR
706 MOCKINGBIRD LANE
TAYLOR TX 76574

Officer/Director/Trustee Two

DR CHARLES EALY
1ST VICE - MODERATOR
1801 VICTORIA
AUSTIN TX 78724

Officer/Director/Trustee Three

LESLIE CHANDLER JR
2ND VICE MODERATOR
PO BOX 6
DIME BOX TX 77853

Officer/Director/Trustee Four

JIMMY JOHNSON
PRESIDENT OF CONGRESS
16700 EASY BEND DR
MANOR TX 78653

Officer/Director/Trustee Five

REV ROBERT GOINS
VICE PRESIDENT OF CONGRESS
245 GLOBE HILL RD
GIDDINGS TX 78942

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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