FORM 1023-EZ for BURLESON COUNTY WILDLIFE ASSOCIATION

Field Data
EIN 84-1719618
Case Number EO-2015077-000299
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BURLESON COUNTY WILDLIFE ASSOCIATION
Organization’s Mailing Address PO BOX 1286
City CALDWELL
State TX
ZIP 77836
Accounting period End 12
Primary contact name CONNIE SMOTEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICK SMOTEK
PRESIDENT
PO BOX 1286
CALDWELL TX 77836

Officer/Director/Trustee Two

AARON FLENCHER
TREASURER
PO BOX 1286
CALDWELL TX 77836

Officer/Director/Trustee Three

EDDIE HODGES
VICE-PRESIDENT
PO BOX 1286
CALDWELL TX 77836

Officer/Director/Trustee Four

MATTHEW RENNER
SECRETARY
PO BOX 1286
CALDWELL TX 77836

Officer/Director/Trustee Five

CONNIE SMOTEK
DIRECTOR
PO BOX 1286
CALDWELL TX 77836

Organization’s website WWW.BURLESONCOUNTYWILDLIFE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2008
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D03 - Professional Societies, Associations
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 No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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