FORM 1023-EZ for HAYS DRIVE A SENIOR CORPORATION

Field Data
EIN 47-1786059
Case Number EO-2014293-000099
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAYS DRIVE A SENIOR CORPORATION
Organization’s Mailing Address P O BOX 331
City BUDA
State TX
ZIP 78610
Accounting period End 12
Primary contact name PATSY SIMON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CRAIG BERLIN
CHAIR
211 CLARK COVE
BUDA TX 78610

Officer/Director/Trustee Two

JAIME GONZALES
VICE-CHAIR
203 RAIL ROAD STREET SUITE 1C
BUDA TX 78610

Officer/Director/Trustee Three

PATSY SIMON
SECRETARY/TREASURER
300 DRYDEN LANE
BUDA TX 78610

Officer/Director/Trustee Four

JENNIFER BROOKE-DAVIDSON
DIRECTOR
8155 FM 3237
DRIFTWOOD TX 78619

Officer/Director/Trustee Five

GENEST HARDING
DIRECTOR
163 JOHNNYS WAY
KYLE TX 78640

Organization’s website WWW.HAYSDRIVEASENIOR.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P52 - Transportation, Free or Subsidized
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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