FORM 1023-EZ for PUNCH OUT PARKINSONS PROGRAM

Field Data
EIN 84-4388088
Case Number EO-2020049-000279
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PUNCH OUT PARKINSONS PROGRAM
Organization’s Mailing Address 310 LAS TABLAS
City HELOTES
State TX
ZIP 78023
Accounting period End 12
Primary contact name DIANNE JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANNE JOHNSON
DIRECTOR
310 LAS TABLAS
HELOTES TX 78023

Officer/Director/Trustee Two

RAUL GARZA
DIRECTOR
18351 HELOTES SPRING ROAD
HELOTES TX 78023

Officer/Director/Trustee Three

RAMON RODRIGUEZ
DIRECTOR
2618 SPRING CANYON
SAN ANTONIO TX 78232

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DIANNE JOHNSON
Signature Title DIRECTOR
Signature Date 2/13/2020

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