FORM 1023-EZ for MEADOWBROOK COUNSELING CENTER

Field Data
EIN 47-3871057
Case Number EO-2015152-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEADOWBROOK COUNSELING CENTER
Organization’s Mailing Address PO BOX 20620
City AMARILLO
State TX
ZIP 79114
Accounting period End 12
Primary contact name MAXINE WESTMORELAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MAXINE WESTMORELAND
TREASURER, DIRECTOR
PO BOX 20620
AMARILLO TX 79114

Officer/Director/Trustee Two

VIC ALLCORN
PRESIDENT, DIRECTOR
5202 HALL AVE
AMARILLO TX 79109

Officer/Director/Trustee Three

BUCK BUCKLEY
SECRETARY, DIRECTOR
2300 SW 6TH AVE BLDG A-100
AMARILLO TX 79102

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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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