FORM 1023-EZ for PALACIOS COMMUNITY COALITION

Field Data
EIN 47-1835667
Case Number EO-2016321-000130
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PALACIOS COMMUNITY COALITION
Organization’s Mailing Address 109 MORTON AVE
City PALACIOS
State TX
ZIP 77465
Accounting period End 12
Primary contact name TROY LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TROY LEWIS
PRESIDENT
109 MORTON AVE
PALACIOS TX 77465

Officer/Director/Trustee Two

WILLIAM GAY
VICE PRESIDENT
110 MAIN STREET
PALACIOS TX 77465

Officer/Director/Trustee Three

JOSEPH RAMSEY
SECRETARY/TREASURER
1700 MERLIN STREET
BAY CITY TX 77414

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W11 - Single Organization Support
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 No
One Third Support Public Yes
One Third Support Gifts No
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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