FORM 1023-EZ for VASHTI COMMUNITY CENTER

Field Data
EIN 82-2689896
Case Number EO-2017256-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VASHTI COMMUNITY CENTER
Organization’s Mailing Address 2100 SANDY LANE
City BELLEVUE
State TX
ZIP 76228
Accounting period End 12
Primary contact name QUENTIN MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRADLEY EARP
PRESIDENT
6387 FM 1288 SOUTH
BELLEVUE TX 76228-3051

Officer/Director/Trustee Two

JAMIE GARRISON
TREASURER
2100 SANDY LANE
BELLEVUE TX 76228-3051

Officer/Director/Trustee Three

TWYLA TERRY
SECRETARY
5142 FM 1288 SOUTH
BELLEVUE TX 76228-3051

Officer/Director/Trustee Four

QUENTIN MOORE
DIRECTOR
6607 FM 1288 SOUTH
BELLEVUE TX 76228-3051

Officer/Director/Trustee Five

CATHY MIDDLETON
DIRECTOR
1O76 DIXON ROAD
BELLEVUE TX 76228-3051

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
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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