FORM 1023-EZ for LAKE TEXOMA PARROTHEAD CLUB

Field Data
EIN 83-1091504
Case Number EO-2019036-000637
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE TEXOMA PARROTHEAD CLUB
Organization’s Mailing Address 125 PALMER LN
City POTTSBORO
State TX
ZIP 75076
Accounting period End 12
Primary contact name SUE KIMBLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBRA HASS
PRESIDENT
45 FAIRWAY CIRCLE
POTTSBORO TX 75076-4875

Officer/Director/Trustee Two

SUE KIMBLE
TREASURER
173 GREENWAY BEND
POTTSBORO TX 75076-4875

Officer/Director/Trustee Three

KEN SIDEBOTTOM
VICE PRESIDENT
42 HACIENDA DR
POTTSBORO TX 75076-4875

Officer/Director/Trustee Four

ROSALYN WELCH
CO-FOUNDER DIRECTOR
77 BOB JONES CT
POTTSBORO TX 75076-4875

Officer/Director/Trustee Five

LINDA BRYANT
CO=FOUNDER DIRECTOR
125 PALMER LN
POTTSBORO TX 75076-4875

Organization’s website TEXOMAPARROTHEADS.ORG
Organization’s email LAKETEXOMAPHC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 LINDA BRYANT
Signature Title CO=FOUNDER DIRECTOR
Signature Date 1/19/19

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