FORM 1023-EZ for CAMP EMBER CORP

Field Data
EIN 84-5043312
Case Number EO-2020072-000224
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMP EMBER CORP
Organization’s Mailing Address 4252 FM 1697
City BURTON
State TX
ZIP 77835
Accounting period End 12
Primary contact name TYLER BERGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDON JOHNSON
PRESIDENT
4252
BURTON TX 77835

Officer/Director/Trustee Two

TOM RICHARDS
VICE PRESIDENT
4252 FM 1697
BURTON TX 77835

Officer/Director/Trustee Three

JAIMIE ROBERTSON
SECRETARY
9310 SHADY LANE CIR
HOUSTON TX 77063

Officer/Director/Trustee Four

JON JOHNSON
TREASURER
4252 FM 1697
BURTON TX 77835

Officer/Director/Trustee Five

ANDREA ETTEKAL
BOARD MEMBER
600 JOHN KIMBROUGH BLVD 2261TAMU
COLLEGE STATION TX 77843-2261

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2020
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: 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 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 BRANDON JOHNSON
Signature Title PRESIDENT
Signature Date 3/9/2020

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