FORM 1023-EZ for TEXAS WIND ATHLETICS

Field Data
EIN 21-5731402
Case Number EO-2014323-000294
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEXAS WIND ATHLETICS
Organization’s Mailing Address 1600 LAKE AIR DR
City WACO
State TX
ZIP 76710
Accounting period End 6
Primary contact name CHARLES MCCULLOCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JANA JERGENSON
DIRECTOR
1200 LAKE AIR
WACO TX 76710

Officer/Director/Trustee Two

SHAWN JERGENSON
ATHLETIC DIRECTOR
1200 LAKE AIR
WACO TX 76710

Officer/Director/Trustee Three

CHARLES MCCULLOCH
TREASURER
1600 LAKE AIR DR
WACO TX 76710

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2012
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 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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