FORM 1023-EZ for TEXAS PUBLIC SAFETY DIVERS

Field Data
EIN 83-3876095
Case Number EO-2019070-000261
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEXAS PUBLIC SAFETY DIVERS
Organization’s Mailing Address 1947 SPLIT MOUNTAIN
City CANYON LAKE
State TX
ZIP 78133
Accounting period End 12
Primary contact name TOM ALLAN CLUTTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM CLUTTS
EXECUTIVE DIRECTOR
1947 SPLIT MOUNTAIN
CANYON LAKE TX 78133

Officer/Director/Trustee Two

JAMES SHEW
DIRECTOR OF OPERATIONS
31481 FM 306
SPRING BRANCH TX 78070

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M23 - Search and Rescue Squads, 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 Yes
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 TOM CLUTTS
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/8/19

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