FORM 1023-EZ for HOUSTON MENS ROLLER DERBY

Field Data
EIN 82-3584313
Case Number EO-2019259-000816
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOUSTON MENS ROLLER DERBY
Organization’s Mailing Address 205 WEBSTER 4134
City HOUSTON
State TX
ZIP 77002
Accounting period End 12
Primary contact name BELINDA PEDRAZA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BELINDA PEDRAZA
DIRECTOR
205 WEBSTER
HOUSTON TX 77002

Officer/Director/Trustee Two

ELIZABETH FERNANDEZ
DIRECTOR
2250 BERING 43
HOUSTON TX 77057

Officer/Director/Trustee Three

ORLANDO BILLUPS
DIRECTOR
14531 ELLA 2416
HOUSTON TX 77014

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BELINDA PEDRAZA
Signature Title DIRECTOR
Signature Date 9/12/2019

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