FORM 1023-EZ for HJABC

Field Data
EIN 83-1845695
Case Number EO-2018255-000132
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HJABC
Organization’s Mailing Address PO BOX 641
City SOUR LAKE
State TX
ZIP 77659
Accounting period End 12
Primary contact name CHERI DICKERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUMMER VICKERY
PRESIDENT
5459 GLAZE RD
KOUNTZE TX 77625

Officer/Director/Trustee Two

BETHANY JEWELL
VICE-PRESIDENT
13060 LARCH LANE
BEAUMONT TX 77713

Officer/Director/Trustee Three

CHERI DICKERSON
TREASURER
18173 HWY 326 N
SOUR LAKE TX 77659

Officer/Director/Trustee Four

KRISTINE SMITH
SECRETARY
8060 VILLAGE DR
BEAUMONT TX 77713

Officer/Director/Trustee Five

TERI RODRIGUEZ
DIRECTOR
1015 MITCHELL
SOUR LAKE TX 77659

Organization’s website
Organization’s email CHERIKDICKERSON@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 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 CHERI DICKERSON
Signature Title TREASURER
Signature Date 9/10/18

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