FORM 1023-EZ for BOSQUE VALLEY FIRST RESPONDERS ORGANIZATION

Field Data
EIN 83-1054792
Case Number EO-2019294-000436
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOSQUE VALLEY FIRST RESPONDERS ORGANIZATION
Organization’s Mailing Address PO BOX 584
City MERIDIAN
State TX
ZIP 76665-584
Accounting period End 7
Primary contact name JEFF WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF WHITE
ADMINISTRATOR
PO BOX 987
MERIDIAN TX 76665

Officer/Director/Trustee Two

LLOYD KUYKENDALL
PRESIDIENT
185 CR 1265
KOPPERL TX 76652

Officer/Director/Trustee Three

WESLEY LEWIS
VICE PRESIDENT
PO BOX 712
VALLEY MILLS TX 76689

Officer/Director/Trustee Four

CRYSTAL ANDERSON
SECRETARY
PO BOX 104
WALNUT SPRINGS TX 76690

Officer/Director/Trustee Five

KIM EDWARDS
TREASURER
1118 N MAIN ST
MERIDIAN TX 76665

Organization’s website BOSQUEVALLEYFRO@GMAIL.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E62 - Ambulance, Emergency Medical Transport Services
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 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 JEFF WHITE
Signature Title ADMINISTRATOR
Signature Date 10/17/19

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