FORM 1023-EZ for NORTHWEST BRAZORIA COUNTY SERVICEMEN ASSOCIATION

Field Data
EIN 82-5135029
Case Number EO-2018106-000458
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHWEST BRAZORIA COUNTY SERVICEMEN ASSOCIATION
Organization’s Mailing Address 13414 FM 521
City ROSHARON
State TX
ZIP 77583
Accounting period End 12
Primary contact name MARCUS ROY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCUS ROY
EXECUTIVE DIRECTOR/FOUNDER
16606 QUAIL RUN
MISSOURI CITY TX 77489

Officer/Director/Trustee Two

CLARENCE SASSER
VICE PRESIDENT
13414 FM 521
ROSHARON TX 77583

Officer/Director/Trustee Three

RAYE WILLIAMS
SECRETARY
5819 CR 42
ROSHARON TX 77583

Officer/Director/Trustee Four

JAMIE WILLIAMS
TREASURER
300 COUNTY ROAD 42
ROSHARON TX 77583

Organization’s website
Organization’s email MSGROY@AOL.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family 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 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 MARCUS ROY
Signature Title EXECUTIVE DIRECTOR/FOUNDER
Signature Date 4/10/18

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