FORM 1023-EZ for DEAFBLIND SERVICE CENTER OF AUSTIN

Field Data
EIN 38-3739111
Case Number EO-2017074-000163
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DEAFBLIND SERVICE CENTER OF AUSTIN
Organization’s Mailing Address PO BOX 9463
City AUSTIN
State TX
ZIP 78766-9463
Accounting period End 9
Primary contact name KRISTINA K CUE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTINA CUE
DIRECTOR
2113 SURRENDER AVENUE
AUSTIN TX 78728

Officer/Director/Trustee Two

KIM POWERS
BOARD MEMBER
309 E 11TH ST APT 103
AUSTIN TX 78701

Officer/Director/Trustee Three

AMBER FARRELLY
SECRETARY
2210 ONION CREEK PKWY UNIT 703
AUSTIN TX 78747

Officer/Director/Trustee Four

EVELYN SHIELDS
BOARD MEMBER
2223 WATERLOO CITY LANE APT 348
AUSTIN TX 78741

Officer/Director/Trustee Five

ANGELIC HALL
BOARD MEMBER
1352 WINDSTONE COURT
MANOR TX 78653

Organization’s website AUSTINDBSC.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2006
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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