FORM 1023-EZ for LONGVIEW TYPE ONE DIABETES FOUNDATION

Field Data
EIN 45-4649682
Case Number EO-2016112-000273
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LONGVIEW TYPE ONE DIABETES FOUNDATION
Organization’s Mailing Address PO BOX 3935
City LONGVIEW
State TX
ZIP 75606
Accounting period End 12
Primary contact name AMBER HOBBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AMBER HOBBS
EXECUTIVE DIRECTOR
443 PINTO RD
GILMER TX 75645

Officer/Director/Trustee Two

REBECCA HAMILTON
PRESIDENT
PO BOX 51
PRICE TX 75687

Officer/Director/Trustee Three

TYLER MCFARLAND
VICE PRESIDENT
1443 WEST FAIRMONT ST
LONGVIEW TX 75604

Officer/Director/Trustee Four

TERESA PRIDDY
TRESURER
PO BOX 272
JUDSON TX 75660

Officer/Director/Trustee Five

JESSICA WILKERSON
SECRETARY
313 SETTLERS RD
LONGVIEW TX 75605

Organization’s website WWW.LONGVIEWTYPEONE.ORG
Organization’s email AMBER@LONGVIEWTYPEONE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/24/2012
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - Alliance/Advocacy Organizations
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 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 Yes
One Third Support Gifts No
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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