FORM 1023-EZ for SENIORSAFETYCLUB

Field Data
EIN 86-1999037
Case Number EO-2021090-000086
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SENIORSAFETYCLUB
Organization’s Mailing Address 1016 TERRA ST
City ROUND ROCK
State TX
ZIP 78665
Accounting period End 12
Primary contact name DAVID WILKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID O WILKINS
PRESIDENT
1016 TERRA ST ROUND ROCK
ROUND ROCK TX 78665

Officer/Director/Trustee Two

DAVID R WILKINS
DIRECTOR
1421 SHORT HORN COVE
ROUND ROCK TX 78665

Officer/Director/Trustee Three

ANGELA J WILKINS
SECRETARY
1016 TERRA ST
ROUND ROCK TX 78665

Organization’s website WWW.SENIORSAFETY.CLUB
Organization’s email SENIORSAFETY3@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2021
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R25 - Seniors' Rights
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 Yes
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 DAVID O WILKINS
Signature Title PRESIDENT
Signature Date 2/16/2021

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