FORM 1023-EZ for KEEP CANYON LAKE BEAUTIFUL

Field Data
EIN 81-0932321
Case Number EO-2016047-000101
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEEP CANYON LAKE BEAUTIFUL
Organization’s Mailing Address 1928 FM 2673
City CANYON LAKE
State TX
ZIP 78133
Accounting period End 12
Primary contact name CYNTHIA M CUEVAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER BRETZKE
PRESIDENT
1928 FM 2673
CANYON LAKE TX 78133

Officer/Director/Trustee Two

SUSAN SULLIVAN
TREASURER
1928 FM 2673
CANYON LAKE TX 78133

Officer/Director/Trustee Three

JUDY HILLEGEIST
VICE PRESIDENT
1928 FM 2673
CANYON LAKE TX 78133

Officer/Director/Trustee Four

CYNTHIA CUEVAS
SECRETARY
1928 FM 2673
CANYON LAKE TX 78133

Officer/Director/Trustee Five

MICHAEL DUSSERE
DIRECTOR
1928 FM 2673
CANYON LAKE TX 78133

Organization’s website N/A
Organization’s email KEEPCLBEAUTIFUL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/16/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C50 - Environmental Beautification and Aesthetics
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
Signature Title
Signature Date

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