FORM 1023-EZ for THE WESTRY MOUTON FOUNDATION INC

Field Data
EIN 81-3968039
Case Number EO-2016298-000512
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE WESTRY MOUTON FOUNDATION INC
Organization’s Mailing Address 2385 AVENUE B
City BEAUMONT
State TX
ZIP 77701
Accounting period End 12
Primary contact name GAYLA YOUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GAYLA YOUNG
PRESIDENT
2385 AVENUE B
BEAUMONT TX 77701

Officer/Director/Trustee Two

LYNN WESTRY
DIRECTOE
2385 AVENUE B
BEAUMONT TX 77701

Officer/Director/Trustee Three

GLORIA THOMAS
DIRECTOR
2385 AVENUE B
BEAUMONT TX 77701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/28/2016
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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