FORM 1023-EZ for HILLS AND VALLEYS INC

Field Data
EIN 47-3369128
Case Number EO-2015120-000181
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HILLS AND VALLEYS INC
Organization’s Mailing Address 7145 READING ROAD APT 411
City ROSENBERG
State TX
ZIP 77471
Accounting period End 12
Primary contact name TIMOTHY ELLERBE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

YOLANDA BROWN
PRESIDENT
1814 PEBBLE HILL COURT
SUGAR LAND TX 77478

Officer/Director/Trustee Two

TRENA ELLERBE
TREASURER
7145 READING ROAD APT 411
ROSENBERG TX 77471

Officer/Director/Trustee Three

HARVEY COX
SECRETARY
10502 FOUNTAIN LAKE DRIVE
STAFFORD TX 77477

Officer/Director/Trustee Four

TIMOTHY ELLERBE
DIRECTOR
7145 READING ROAD APT 411
ROSENBERG TX 77478

Officer/Director/Trustee Five

RON HARRIS
DIRECTOR
306 HONEYSUCKLE VINE DRIVE
ROSENBERG TX 77469

Organization’s website WWW.HILLSANDVALLEYS.ORG
Organization’s email HILLSANDVALLEYSMENTORSHIP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 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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