FORM 1023-EZ for HOUSTON ALLIANCE OF VOLUNTEERS IN MEDICINE

Field Data
EIN 46-4088826
Case Number EO-2015187-000482
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOUSTON ALLIANCE OF VOLUNTEERS IN MEDICINE
Organization’s Mailing Address 5168 CHEVY CHASE DR
City HOUSTON
State TX
ZIP 77056
Accounting period End 11
Primary contact name MARIA ANGELINA SUPAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARIA SUPAN
PRESIDENT
5168 CHEVY CHASE DR
HOUSTON TX 77056

Officer/Director/Trustee Two

DELMAR AUBIN
VICE-PRESIDENT
9422 WALNUT BROOK CT
HOUSTON TX 77040

Officer/Director/Trustee Three

GLENDA SANTUA
SECRETARY
5530 VIOLET PATH LN
HOUSTON TX 77085

Officer/Director/Trustee Four

CLAUDETTE ELLORIN
TREASURER
8127 MORNING ROSE LN
HOUSTON TX 77095

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/2013
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 Yes
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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