FORM 1023-EZ for THREE STAR MEMORIAL

Field Data
EIN 46-4332445
Case Number EO-2016322-000163
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THREE STAR MEMORIAL
Organization’s Mailing Address PO BOX 1164
City CANYON
State TX
ZIP 79015
Accounting period End 12
Primary contact name JORDAN FABRIZIO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE KUHLMAN
PRESIDENT
1755 NANCE ROAD
CANYON TX 79015

Officer/Director/Trustee Two

JORDAN FABRIZIO
SECRETARY
PO BOX 1164
CANYON TX 79015

Officer/Director/Trustee Three

RICK LOPEZ
VICE-PRESIDENT
26101 SOUTH US HWY 87
CANYON TX 79015

Organization’s website WWW.THREESTARMEMORIAL.ORG
Organization’s email JORDANJOFABRIZIO1@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2013
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Unrelated Gross Income $1,000 or More Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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