FORM 1023-EZ for WALLER COUNTY SHERIFFS OFFICE FOUNDATION

Field Data
EIN 82-0725012
Case Number EO-2017069-000345
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WALLER COUNTY SHERIFFS OFFICE FOUNDATION
Organization’s Mailing Address 737 12TH STREET
City HEMPSTEAD
State TX
ZIP 77445
Accounting period End 12
Primary contact name JOHN MORITZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BELVA CARDIFF
DIRECTOR
5402 FRANZ RD
KATY TX 77493

Officer/Director/Trustee Two

LARRY BUXTON
DIRECTOR
9346 TELGE RD
HOUSTON TX 77095

Officer/Director/Trustee Three

ANTOINE NOUN
DIRECTOR
52186 HWY 290
HEMSTEAD TX 77445

Officer/Director/Trustee Four

ODIS STYERS III
DIRECTOR
PO BOX 557
HEMPSTEAD TX 77445

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/23/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T23 - Private Operating Foundations
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 Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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