FORM 1023-EZ for BRAZOS VALLEY INCIDENT MANAGEMENT TEAM

Field Data
EIN 81-5071396
Case Number EO-2017058-000440
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRAZOS VALLEY INCIDENT MANAGEMENT TEAM
Organization’s Mailing Address 110 N MAIN ST SUITE 100
City BRYAN
State TX
ZIP 77803
Accounting period End 12
Primary contact name FRANK LITTLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOWARD MEEK
PRESIDENT
110 N MAIN ST SUITE 100
BRYAN TX 77803

Officer/Director/Trustee Two

TERESA MEDEARIS
TREASURER
110 N MAIN ST SUITE 100
BRYAN TX 77803

Officer/Director/Trustee Three

KENNETH UTZ
VICE-PRESIDENT
110 N MAIN ST SUITE 100
BRYAN TX 77803

Officer/Director/Trustee Four

MERRIE NOAK
SECRETARY
110 N MAIN ST SUITE 100
BRYAN TX 77803

Officer/Director/Trustee Five

DAN WILLIAMS
TRAINING OFFICER
110 N MAIN ST SUITE 100
BRYANBRYAN TX 77803

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M02 - Management & Technical Assistance
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 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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