FORM 1023-EZ for SERRA CLUB OF AMARILLO

Field Data
EIN 23-7549268
Case Number EO-2020127-000052
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SERRA CLUB OF AMARILLO
Organization’s Mailing Address 333 WEST WACKER DRIVE
City CHICAGO
State IL
ZIP 60606
Accounting period End 5
Primary contact name BOB CAMPNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT CAMPNEY
TRUSTEE
15918 PATRICK AVE
OMAHA NE 68116

Officer/Director/Trustee Two

GERALD BRANDT
PRESIDENT
UNIT 4 LAS COLINAS CT
AMARILLO TX 79124

Officer/Director/Trustee Three

DAVID DZIK
SECRETARY
7132 ADIRONDACK TRAIL
AMARILLO TX 79106

Officer/Director/Trustee Four

BELINDA BRITTEN
PRESIDENT ELECT
7851 CANYON BEND RD
AMARILLO TX 79118

Officer/Director/Trustee Five

DAVID DZIK
TREASURER
7132 ADIRONDACK TRAIL
AMARILLO TN 79106

Organization’s website
Organization’s email CAMPNEYBOB@COX.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/1953
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 ROBERT CAMPNEY
Signature Title TRUSTEE
Signature Date 5/2/2020

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