FORM 1023-EZ for AMPUTEES IN MOTION

Field Data
EIN 83-1484422
Case Number EO-2018221-000363
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMPUTEES IN MOTION
Organization’s Mailing Address 183 CR 3298
City DECATUR
State TX
ZIP 76234
Accounting period End 12
Primary contact name MITZI SULLIVAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MITCHELL MILLER
DIRECTOR
183 CR 3298
DECATUR TX 76234

Officer/Director/Trustee Two

HELLEN EDWARDS EDWARDS
DIRECTOR
401 E TARRANT
BOWIE TX 76230

Officer/Director/Trustee Three

JACKIE BURROW
DIRECTOR
520 W ELM ST
DECATUR TX 76234

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 E12 - 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 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 MITCHELL MILLER
Signature Title DIRECTOR
Signature Date 8/7/18

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