FORM 1023-EZ for PLEASANT GROVE CEMETERY

Field Data
EIN 75-1534464
Case Number EO-2014231-000062
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLEASANT GROVE CEMETERY
Organization’s Mailing Address 188 CR 4709
City SULPHUR SPRINGS
State TX
ZIP 75482
Accounting period End 12
Primary contact name LEO WISNIEWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DARREL COLEMAN
DIRECTOR
821 CR 4708
SULPHUR SPRINGS TX 75482

Officer/Director/Trustee Two

RONNIE DOSS
DIRECTOR
813 CR 4708
SULPHUR SPRINGS TX 75482

Officer/Director/Trustee Three

KELLY STONAKER
DIRECTOR
188 CR 4709
SULPHUR SPRINGS TX 75482

Officer/Director/Trustee Four

SUE TITTLE
DIRECTOR
230 CR 4709
SULPHUR SPRINGS TX 75482

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/1983
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y50 - Cemeteries, Burial Services
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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