FORM 1023-EZ for STATE ORPHANS HOME ASSOCIATION

Field Data
EIN 75-2741916
Case Number EO-2016081-000057
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STATE ORPHANS HOME ASSOCIATION
Organization’s Mailing Address 1818 MAPLEWOOD AVE
City CORSICANA
State TX
ZIP 75110
Accounting period End 12
Primary contact name LYNN TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LYNN TAYLOR
PRESIDENT
1818 MAPLEWOOD AVE
CORSICANA TX 75110

Officer/Director/Trustee Two

PAULETTE PELLETIER
VICE PRESIDENT
233 SUNRISE DR
ARGYLE TX 76226

Officer/Director/Trustee Three

LEE MOORMAN
SECRETARY
6276 FM 1504
EDGEWOOD TX 75117

Officer/Director/Trustee Four

WES HAEFS
CHAPLAIN
3526 CR 1342
PITTSBURG TX 75686

Officer/Director/Trustee Five

DANNY DENNIS
PARLIAMENTARIAN
4905 FM 744
CORSICANA TX 75110

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/1971
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 No
One Third Support Gifts Yes
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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