FORM 1023-EZ for FRIENDS OF SAVE MEDINA LAKE

Field Data
EIN 81-2121432
Case Number EO-2017062-000339
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF SAVE MEDINA LAKE
Organization’s Mailing Address PO BOX 390
City LAKEHILLS
State TX
ZIP 78063
Accounting period End 12
Primary contact name RACHEL MULHERIN - SECRETARY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HENNING EILERT-OLSEN
CHAIRMAN
472 SIDNEY SHORES
LAKEHILS TX 78063

Officer/Director/Trustee Two

RACHEL MULHERIN
SECRETARY
245 BREEZY POINT
LAKEHILLS TX 78063

Officer/Director/Trustee Three

DON SLOAN
TREASURER
2252 MOUNTAIN DRIVE
LAKEHILLS TX 78063

Organization’s website WWW.SAVEMEDINALAKE.COM
Organization’s email WATER@SAVEMEDINALAKE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
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 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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