FORM 1023-EZ for SOUTHERN BRAZORIA COUNTY CPR TASK FORCE

Field Data
EIN 38-3788781
Case Number EO-2016051-000059
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN BRAZORIA COUNTY CPR TASK FORCE
Organization’s Mailing Address P O BOX 584
City LAKE JACKSON
State TX
ZIP 77566
Accounting period End 12
Primary contact name MARY HELEN NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARY HELEN NELSON
CHAIRPERSON
2708 SIMS AVE
BAY CITY TX 77414

Officer/Director/Trustee Two

JANICE MCEWEN
VICE CHAIRPERSON
55 JAPONICA CT
LAKE JACKSON TX 77566

Officer/Director/Trustee Three

HENRY MENDEZ
2ND VICE CHAIR
816 SYCAMORE
LAKE JACKSON TX 77566

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2008
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M41 - First Aid Training, Services
Organization’s purpose Charitable: No
Religious: No
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 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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