FORM 1023-EZ for LAST OF A DYING BREED TRAIL RIDERS SOCIAL CLUB

Field Data
EIN 46-4062517
Case Number EO-2016315-000242
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAST OF A DYING BREED TRAIL RIDERS SOCIAL CLUB
Organization’s Mailing Address 4705 STEELTON
City BEAUMONT
State TX
ZIP 77703
Accounting period End 12
Primary contact name CLARISSA WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLARISSA WILSON
PRESIDENT
4935 BEAUMONT DR
BEAUMONT TX 77708

Officer/Director/Trustee Two

CHANNA CLAY
SECRETARY
4705 STEELTON
BEAUMONT TX 77703

Officer/Director/Trustee Three

SAMANTHA FRANCIS
HISTORIAN
1137 FIRST ST
NOME TX 77629

Officer/Director/Trustee Four

EARLENE CLAY
TREASURER
4705 STEELTON
BEAUMONT TX 77703

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2011
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 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 Yes
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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