FORM 1023-EZ for OLIVIA BUCKLEY MEMORIAL FOUNDATIONDBA OLIVES BRANCH

Field	Data
EIN	83-3409151
Case Number	EO-2019063-000237
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	OLIVIA BUCKLEY MEMORIAL FOUNDATIONDBA OLIVES BRANCH
Organization’s Mailing Address	4427 GREYSTONE DR
City	SAN ANTONIO
State	TX
ZIP	78233-6937
Accounting period End	12
Primary contact name	CAROLYN BIRGE
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

NATALIE GILL
PRESIDENT, DIRECTOR
4427 GREYSTONE DR
SAN ANTONIO TX 78233-6937

Officer/Director/Trustee Two

CHRISTOPHER BUCKLEY
SECRETARY, DIRECTOR
4427 GREYSTONE DR
SAN ANTONIO TX 78233-6937

Officer/Director/Trustee Three

CAROLYN BIRGE
TREASURER, DIRECTOR
4427 GREYSTONE DR
SAN ANTONIO TX 78233-6937

Officer/Director/Trustee Four

PATRICK OBRIEN
DIRECTOR
4427 GREYSTONE DR
SAN ANTONIO TX 78233-6937

Officer/Director/Trustee Five

CLAIRE GRAY
DIRECTOR
4427 GREYSTONE DR
SAN ANTONIO TX 78233-6937

Organization’s website	WWW.OLIVESBRANCH.ORG
Organization’s email
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	1/10/19
Organization Incorporation State	TX
Contains Limitation	Yes
Does not expressly empower	Yes
Contains dissolution	Yes
National Taxonomy of Exempt Entities (NTEE) code	P99 - Human Services - Multipurpose and Other N.E.C.
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	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	NATALIE GILL
Signature Title	PRESIDENT, DIRECTOR
Signature Date	2/28/19
EIN	83-3409151
Case Number	EO-2019063-000237
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	OLIVIA BUCKLEY MEMORIAL FOUNDATION DBA OLIVES BRANCH
Organization’s Mailing Address	4427 GREYSTONE DR
City	SAN ANTONIO
State	TX
ZIP	78233-6937
Accounting period End	12
Primary contact name	CAROLYN BIRGE
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00