FORM 1023-EZ for THE AMBERLEY COLLABORATIVE

Field Data
EIN 83-2999163
Case Number EO-2019031-000398
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE AMBERLEY COLLABORATIVE
Organization’s Mailing Address 700 CANDELIGHT DRIVE
City WOODWAY
State TX
ZIP 76712
Accounting period End 12
Primary contact name MEG WALLACE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE HILL
PRESIDENT
2101 FOREST TRAIL
TEMPLE TX 76502

Officer/Director/Trustee Two

JAJA CHEN
VICE PRESIDENT
6501 SANGER AVENUE 102
WACO TX 76710

Officer/Director/Trustee Three

CAROLINE THORNTON
SECRETARY
600 COLUMBUS AVENUE 106
WACO TX 76701

Organization’s website WWW.AMBERLEYCOLLABORATIVE.ORG
Organization’s email ADMIN@AMBERLEYCOLLABORATIVE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 STEPHANIE HILL
Signature Title PRESIDENT
Signature Date 1/7/19

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