FORM 1023-EZ for SKYE MCCOLE BARTUSIAK FOUNDATION

Field Data
EIN 47-6391343
Case Number EO-2014363-000164
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SKYE MCCOLE BARTUSIAK FOUNDATION
Organization’s Mailing Address 1501 BLAIR ST
City HOUSTON
State TX
ZIP 77008
Accounting period End 12
Primary contact name R DONALD BARTUSIAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

R DONALD BARTUSIAK
PRESIDENT
1501 BLAIR ST
HOUSTON TX 77008

Officer/Director/Trustee Two

STEPHEN BARTUSIAK
TRUSTEE
547 HEIGHTS BLVD
HOUSTON TX 77007

Officer/Director/Trustee Three

CHRISTOPHER LALKA
TREASURER
5510 SUMMER SNOW DR
HOUSTON TX 77041

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
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 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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