FORM 1023-EZ for DEBAKEY HIGH SCHOOL PARENT TEACHER ORGANIZATION

Field Data
EIN 82-2187972
Case Number EO-2017201-000400
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DEBAKEY HIGH SCHOOL PARENT TEACHER ORGANIZATION
Organization’s Mailing Address 2545 PRESSLER
City HOUSTON
State TX
ZIP 77030
Accounting period End 5
Primary contact name MATTHEW KONVICKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW KONVICKA
PRESIDENT
2545 PRESSLER
HOUSTON TX 77030

Officer/Director/Trustee Two

VINCENT SANDERS
VP FUNDRAISING
2545 PRESSLER
HOUSTON TX 77030

Officer/Director/Trustee Three

DAVID MCMILLAN
TREASURER
2545 PRESSLER
HOUSTON TX 77030

Officer/Director/Trustee Four

MARTHA CHICA
VP UNIFORMS
2545 PRESSLER
HOUSTON TX 77030

Organization’s website
Organization’s email MATTKONVICKA@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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