FORM 1023-EZ for GERIS LOCKER

Field Data
EIN 32-0554732
Case Number EO-2018095-000654
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GERIS LOCKER
Organization’s Mailing Address 10817 RANGE VIEW DRIVE
City AUSTIN
State TX
ZIP 78730-1499
Accounting period End 12
Primary contact name DIONN SCHAFFNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIONN SCHAFFNER
PRESIDENT
10817 RANGE VIEW DRIVE
AUSTIN TX 78730-1499

Officer/Director/Trustee Two

TRACI ADAMS
SECRETARY
4302 RINGROSE DRIVE
MISSOURI CITY TX 77459-2942

Officer/Director/Trustee Three

JAIME NOYOLA
TREASURER
2105 CAMPFIELD PKWY
AUSTIN TX 78745-6350

Organization’s website GERISLOCKER.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W19 - Nonmonetary Support N.E.C.
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 DIONN SCHAFFNER
Signature Title PRESIDENT
Signature Date 3/22/18

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