FORM 1023-EZ for SAPSS SUBSTANCE ABUSE PERSONAL SUPPORT SERVICES

Field Data
EIN 85-2670295
Case Number EO-2020248-000318
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAPSS SUBSTANCE ABUSE PERSONAL SUPPORT SERVICES
Organization’s Mailing Address 503 N 11TH
City GATESVILLE
State TX
ZIP 76528
Accounting period End 12
Primary contact name MIKE JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SONJANETTE CROSSLEY
PRESIDENT
5102 STURBRIDGE DR
TEMPLE TX 76502

Officer/Director/Trustee Two

CALVIN FORD
SECRETARY
1034 HIGHLAND DR
GATESVILLE TX 76528

Officer/Director/Trustee Three

WANDA JOHNSON
TREASURER
507 N 14
GATESVILLE TX 76528

Officer/Director/Trustee Four

ADRIAN CASTILLE
DIRECTOR
128 FM 116
GATESVILLE TX 76528

Officer/Director/Trustee Five

MIKE JOHNSON
EXECUTIVE DIRECTOR, AGENT
102 N 29TH
GATESVILLE TX 76528

Organization’s website WWW.SUBSTANCEAPSS@GMAIL.COM
Organization’s email SUBSTANCEAPSS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 MIKE JOHNSON
Signature Title EXECUTIVE DIRECTOR, AGENT
Signature Date 9/2/2020

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