FORM 1023-EZ for MAURICE LAMKIN JR BRAIN INJURY FOUNDATION
| Field | Data |
|---|---|
| EIN | 80-0872990 |
| Case Number | EO-2021144-000150 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MAURICE LAMKIN JR BRAIN INJURY FOUNDATION |
| Organization’s Mailing Address | 14080 NACOGDOCHES RD PM BOX 585 |
| City | SAN ANTONIO |
| State | TX |
| ZIP | 78247 |
| Accounting period End | 12 |
| Primary contact name | MICHELLE MOUILLE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MICHELLE MOUILLE
PRESIDENT
PO BOX 47882
SAN ANTONIO TX 78265
Officer/Director/Trustee Two
KEN MOUILLE
DIRECTOR
16319 BOULDER PASS
SAN ANTONIO TX 78247
Officer/Director/Trustee Three
CAROL ROEMER
OFFICER
315 LANARK
SAN ANTONIO TX 78218
| Organization’s website | WWW.WISHFORTHESKY.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/5/2013 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G48 - Brain Disorders |
| 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 | Yes |
| Correctness Declaration | Yes |
| Signature Name | MICHELLE MOUILLE |
| Signature Title | PRESIDENT |
| Signature Date | 5/21/2021 |
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