FORM 1023-EZ for FLAT FISH WATER SUPPLY CORPORATION

Field Data
EIN 81-0837475
Case Number EO-2016237-000264
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLAT FISH WATER SUPPLY CORPORATION
Organization’s Mailing Address 16223 CYPRESS POINT DRIVE
City CYPRESS
State TX
ZIP 77429-9998
Accounting period End 12
Primary contact name CARL JACKOWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL JACKOWSKI
PRESIDENT
16223 CYPRESS POINT DRIVE
CYPRESS TX 77429-9998

Officer/Director/Trustee Two

KIM VANEK
SECRETARY
923 ROCK SPRINGS
RICHMOND TX 77469-9998

Officer/Director/Trustee Three

SHELLY CROW
TREASURER
1818 FM 2235
PORT LAVACA TX 77979

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S30 - Economic Development
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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