FORM 1023-EZ for MIDLAND RAINBOW ROOM

Field Data
EIN 81-4249943
Case Number EO-2016349-000259
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIDLAND RAINBOW ROOM
Organization’s Mailing Address 3601 TIMBERWOLF TRAIL
City MIDLAND
State TX
ZIP 79705
Accounting period End 12
Primary contact name KELLI CROUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAULA COX
PRESIDENT
5206 WIDENER STRIP
MIDLAND TX 79707

Officer/Director/Trustee Two

DEAN DAVIS
VICE PRESIDENT
2209 SOUTH COUNTY ROAD 1086
MIDLAND TX 79706

Officer/Director/Trustee Three

KELLI CROUSE
SECRETARY/TREASURER
3601 TIMBERWOLF TRAIL
MIDLAND TX 79705

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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