FORM 1023-EZ for DIABETES AWARENESS CAMPAIGN OF CENTRAL TEXAS

Field Data
EIN 36-4842523
Case Number EO-2016221-000371
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DIABETES AWARENESS CAMPAIGN OF CENTRAL TEXAS
Organization’s Mailing Address 2432 CR107
City LINCOLN
State TX
ZIP 78948
Accounting period End 12
Primary contact name MICHELLE PONTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI DIEZ
PRESIDENT
2432 CR 107
LINCOLN TX 78948

Officer/Director/Trustee Two

LISA SILLAVAN
VICE PRESIDENT
1619 CR 401
DIME BOX TX 77853

Officer/Director/Trustee Three

MICHELLE PONTON
SECRETARY/TREASURER
22815 APRIL SPRING LANE
KATY TX 77494

Organization’s website AWARENESSMATTERS.NET
Organization’s email DIABETES@AWARENESSMATTERS.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 Yes
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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