FORM 1023-EZ for CHAPLAIN EMERGENCY RESPONSE TEAM

Field Data
EIN 81-3971114
Case Number EO-2017023-000512
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHAPLAIN EMERGENCY RESPONSE TEAM
Organization’s Mailing Address 604 W 4TH STREET
City TYLER
State TX
ZIP 75701
Accounting period End 12
Primary contact name DOUG HANING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUG HANING
CHIEF CHAPLAIN
604 W 4TH STREET
TYLER TX 75701

Officer/Director/Trustee Two

SUSAN DAVIS
D
5348 OLD JACKSONVILLE HWY 421
TYLER TX 75703

Officer/Director/Trustee Three

CHARLES BOYCE
SECRETARY
2021 ASHLEY DR
GLADEWATER TX 75647

Officer/Director/Trustee Four

DAVID CERQUA
TREASURER
604 W 4TH STREET
TYLER TX 75701

Organization’s website WWW.TEXASCHAPLAIN911
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
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 Yes
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
Signature Title
Signature Date

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