FORM 1023-EZ for 963 MEDIA

Field Data
EIN 84-2389851
Case Number EO-2020029-000419
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 963 MEDIA
Organization’s Mailing Address 1068 TOM LEDBETTER RD
City WACO
State TX
ZIP 76712
Accounting period End 12
Primary contact name ROBERT FULLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT FULLER
PRESIDENT
1068 TOM LEDBETTER RD
WACO TX 76712

Officer/Director/Trustee Two

JADY GRIFFIN
SECRETARY
21300 HINES
PFLUGERVILLE TX 78660

Officer/Director/Trustee Three

NATE BOBBETT
VICE PRESIDENT
409 HUNTERS RUN
WOODWAY TX 76712

Officer/Director/Trustee Four

HEATHER FULLER
TREASURUR
1068 TOM LEDBETTER RD
WACO TX 76712

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/28/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A30 - Media, Communications Organizations
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
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 ROBERT FULLER
Signature Title PRESIDENT
Signature Date 1/27/2020

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