FORM 1023-EZ for MIDLAND COUNTY SYSTEM OF CARE

Field Data
EIN 47-4844852
Case Number EO-2015320-000279
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MIDLAND COUNTY SYSTEM OF CARE
Organization’s Mailing Address 3800 N LAMESA RD
City MIDLAND
State TX
ZIP 79705
Accounting period End 9
Primary contact name DANIEL ROBISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FOREST HANNA
PRESIDENT
3800 N LAMESA RD
MIDLAND TX 79705

Officer/Director/Trustee Two

DANIEL ROBISON
TREASURER
3800 N LAMESA RD
MDILAND TX 79705

Officer/Director/Trustee Three

SUE ELLEN STADLER
DIRECTOR
3401 N A ST
MIDLAND TX 79705

Officer/Director/Trustee Four

TODD LAZADDER
DIRECTOR
401 E ILLINOIS AVE
MIDLAND TX 79701

Officer/Director/Trustee Five

LEAH DOTY
DIRECTOR
1151 ELMWOOD
ABILENE TX 79705

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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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