FORM 1023-EZ for HEART OF TEXAS SKATERS ROLLER DERBY

Field Data
EIN 46-4885683
Case Number EO-2017249-000084
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEART OF TEXAS SKATERS ROLLER DERBY
Organization’s Mailing Address 7047 VALMONT DR
City SAN ANTONIO
State TX
ZIP 78240-4047
Accounting period End 12
Primary contact name ALMA WESTPHAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALMA WESTPHAL
DIRECTOR / TRAINING DIRECTOR
544 CR 6813
NATALIA TX 78059

Officer/Director/Trustee Two

LINDSAY CERVANTES
DIRECTOR / TREASURER
7047 VALMONT DR
SAN ANTONIO TX 78240-4047

Officer/Director/Trustee Three

AMBER PANG PARRA
AGENT
6111 TEZEL RD STE 105
SAN ANTONIO TX 78250

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2014
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: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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