FORM 1023-EZ for LANE VALLEY COMMUNITY CENTER

Field Data
EIN 74-2672283
Case Number EO-2017299-000492
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LANE VALLEY COMMUNITY CENTER
Organization’s Mailing Address P O BOX 162
City COMFORT
State TX
ZIP 78013
Accounting period End 5
Primary contact name LYNDEL TROJCAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNDEL TROJCAK
PRESIDENT
P O BOX 162
COMFORT TX 78013

Officer/Director/Trustee Two

TINA BOHNERT
TREAURER
P O BOX 162
COMFORT TX 78013

Officer/Director/Trustee Three

MARY IMHOFF
SECRETARY
P O BOX 162
COMFORT TX 78013

Officer/Director/Trustee Four

AJ BERGMANN
VICE PRESIDENT
P O BOX 162
COMFORT TX 78013

Officer/Director/Trustee Five

LOUISE HOMILIUS
REPORTER
P O BOX 162
COMFORT TX 78013

Organization’s website N/A
Organization’s email LTROJCAK1@SBCGLOBAL.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/1981
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 No
One Third Support Gifts Yes
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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