FORM 1023-EZ for GALVESTON DIAPER BANK

Field Data
EIN 47-4777088
Case Number EO-2016007-000451
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GALVESTON DIAPER BANK
Organization’s Mailing Address 2115 POST OFFICE STREET
City GALVESTON
State TX
ZIP 77550
Accounting period End 12
Primary contact name KATHY MODZELEWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHERINE MODZELEWSKI
PRESIDENT
2115 POSTOFFICE STREET
GALVESTON TX 77550

Officer/Director/Trustee Two

ANGELA BROWN
VICE-PRESIDENT
2119 N 1/2
GALVESTON TX 77550

Officer/Director/Trustee Three

LAUREN SCOTT
SECRETARY
1310 HARBOR VIEW
GALVESTON TX 77550

Organization’s website WWW.GALVESTONDIAPERBANK.ORG
Organization’s email GALVESTONDIAPERBANK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/2015
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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