FORM 1023-EZ for TEXOMA MEDICAL CENTER BONHAM AUXILIARY INC

Field Data
EIN 84-2147076
Case Number EO-2019262-000010
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEXOMA MEDICAL CENTER BONHAM AUXILIARY INC
Organization’s Mailing Address 504 LIPSCOMB ST
City BONHAM
State TX
ZIP 75418-4028
Accounting period End 4
Primary contact name WILEEN BURNS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AGNES RICKER
PRESIDENT
PO BOX 80
SAVOY TX 75479

Officer/Director/Trustee Two

WILEEN BURNS
TREASURER
209 CHAFFIN
BONHAM TX 75418

Officer/Director/Trustee Three

ALANA MUNGER
SECRETARY
108 LESLIE ST
BONHAM TX 75418

Officer/Director/Trustee Four

PAT SHAFFER
VICE PRESIDENT
401 CR 2925
DODD CITY TX 75438

Officer/Director/Trustee Five

MILLIE SMITH
VICE PRESIDENT
112 ROBINSON
BONHAM TX 75418

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 WILEEN BURNS
Signature Title TREASURER
Signature Date 9/17/19

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