FORM 1023-EZ for AFACHAPTER 233 SAN JACHINTO

Field Data
EIN 74-6077169
Case Number EO-2017307-000275
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AFACHAPTER 233 SAN JACHINTO
Organization’s Mailing Address 12431 LARK FAIR LN
City HOUSTON
State TX
ZIP 77089-2487
Accounting period End 12
Primary contact name LARRY WERBISKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRY WERBISKI
CHAPTER PRESIDENT
12431 LARK FAIR LN
HOUSTON TX 77089-2487

Officer/Director/Trustee Two

LYNN BENTLEY
CHAPTER VICE PRESIDENT
3 HERMANN MUSEUM CIRCLE DR
HOUSTON TX 77004

Officer/Director/Trustee Three

LARRY BRADSHAW
CHAPTER TREASURER
7350 KIRBY DR APT 46
HOUSTON TX 77030-3526

Officer/Director/Trustee Four

THOMAS THOMPSON
CHAPTER SECRETARY
414 SHELDRAKE CT
SUGAR LAND TX 77478-4734

Officer/Director/Trustee Five

HOMER BLACK
VICE PRESIDENT OF DEVELOPMENT
811 BRIARPARK DR
HOUSTON TX 77042-1555

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/1955
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 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 Yes
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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