FORM 1023-EZ for ALLEN PUBLIC SAFETY ALLIANCE

Field Data
EIN 83-4691337
Case Number EO-2019141-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALLEN PUBLIC SAFETY ALLIANCE
Organization’s Mailing Address 190 E STACY RD STE 306-281
City ALLEN
State TX
ZIP 75013
Accounting period End 12
Primary contact name JUSTIN ARSENAULT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN ARSENAULT
PRESIDENT
1210 LAKEWOOD DR
MCKINNEY TX 75072

Officer/Director/Trustee Two

NOEL ERTER
VICE PRESIDENT
1520 LANDON LN
MCKINNEY TX 75071

Officer/Director/Trustee Three

DEREK MALENA
SECRETARY
1838 COUNTY ROAD 657
FARMERSVILLE TX 75442

Officer/Director/Trustee Four

CHANCE GRAVES
VICE PRESIDENT OF FUNDRAISING
3600 DOGWOOD RD
MELISSA TX 75454

Officer/Director/Trustee Five

LAURA GILMORE
TREASURER
6228 DARK FOREST DR
MCKINNEY TX 75070

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M03 - Professional Societies, Associations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JUSTIN ARSENAULT
Signature Title PRESIDENT
Signature Date 5/19/19

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