FORM 1023-EZ for AVERYS ANGEL FUND

Field Data
EIN 83-1853206
Case Number EO-2018256-000408
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AVERYS ANGEL FUND
Organization’s Mailing Address 272 S HILL AVE
City NEW BRAUNFELS
State TX
ZIP 78130
Accounting period End 12
Primary contact name CATHIE POLK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHIE POLK
CHAIRMAN
272 S HILL AVE
NEW BRAUNFELS TX 78130-5127

Officer/Director/Trustee Two

DEANNE GRAY
TRUSTEE
3511 FALSTON FREEN
BRYAN TX 77808

Officer/Director/Trustee Three

HALEY MAURER
TRUSTEE
3489 CHEROKEE
NEW BRAUNFELS TX 78132

Officer/Director/Trustee Four

DEANA POLK
TRUSTEE
272 S HILL AVE
NEW BRAUNFELS TX 78130

Officer/Director/Trustee Five

JOHN POLK
CHAIRMAN
272 S HILL AVE
NEW BRAUNFELS TX 78130

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D40 - Veterinary Services
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CATHIE POLK
Signature Title CHAIRMAN
Signature Date 9/11/18

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