FORM 1023-EZ for BURLESON COUNTY YOUTH DEVELOPMENT INC

Field Data
EIN 46-2648026
Case Number EO-2015181-000046
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BURLESON COUNTY YOUTH DEVELOPMENT INC
Organization’s Mailing Address PO BOX 1314
City CALDWELL
State TX
ZIP 77836
Accounting period End 12
Primary contact name DANNY KOERTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MIKE MYERS
PRESIDENT
2205 CR 122
CALDWELL TX 77836

Officer/Director/Trustee Two

BRIAN BROADDUS
VICE PRESIDENT
1000 WOODSONS DR
CALDWELL TX 77836

Officer/Director/Trustee Three

MIKE EUBANKS
SECRETARY
400 OSR
CALDWELL TX 77836

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2013
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
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 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
Signature Title
Signature Date

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