FORM 1023-EZ for HARPERS QUEST

Field Data
EIN 81-2812572
Case Number EO-2016190-000334
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARPERS QUEST
Organization’s Mailing Address 12316 MEDITERRA PL
City AUSTIN
State TX
ZIP 78732
Accounting period End 12
Primary contact name RICHARD PERALEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL YOCKEY
CHAIRMAN OF THE BOARD
12316 MEDITERRA PL
AUSTIN TX 78732

Officer/Director/Trustee Two

JIMMY BURKETT
TREASURER
3100 CANDLELIGHT CT
AUSTIN TX 78757

Officer/Director/Trustee Three

SHELLY GRABE
SECRETARY
2109 THORNTON RD
AUSTIN TX 78704

Officer/Director/Trustee Four

MICAH BRASSFIELD
BOARD MEMBER
5505 SABBIA CV
ROUND ROCK TX 78665

Organization’s website WWW.HARPERSQUEST.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - 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 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 Yes
One Third Support Gifts No
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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