FORM 1023-EZ for MID-COUNTY PERFORMING ART

Field Data
EIN 76-0696709
Case Number EO-2016035-000203
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MID-COUNTY PERFORMING ART
Organization’s Mailing Address 2921 AVENUE H
City NEDERLAND
State TX
ZIP 77627
Accounting period End 12
Primary contact name EILEEN H LAW CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MELISSA CESSAC
PRESIDENT
2921 AVE H
NEDERLAND TX 77627

Officer/Director/Trustee Two

SUZANNE REEVES
SECRETARY
2921 AVE H
NEDERLAND TX 77627

Officer/Director/Trustee Three

BILL JARDELL
TREASURER
2921 AVE H
NEDERLAND TX 77627

Officer/Director/Trustee Four

KIM HAWKINS
DIRECTOR
2921 AVE H
NEDERLAND TX 77627

Officer/Director/Trustee Five

KEELY JARDELL
DIRECTOR
2921 AVE H
NEDERLAND TX 77627

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2000
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
Organization’s purpose Charitable: No
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 Yes
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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