FORM 1023-EZ for REGULADORES LEMC-GRAYTOWN CHAPTER

Field Data
EIN 47-4143199
Case Number EO-2015154-000284
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REGULADORES LEMC-GRAYTOWN CHAPTER
Organization’s Mailing Address 4105 TWIN RISE
City VON ORMY
State TX
ZIP 78073
Accounting period End 12
Primary contact name DERRICK HUTCHINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN AMERAULT
PRESIDENT
9514 GOLD HILL
SAN ANTONIO TX 78245

Officer/Director/Trustee Two

LYNNE GRIBBEN
TREASURER
615 HIDDEN RANCH LN
FLORESVILLE TX 78114

Officer/Director/Trustee Three

GUADALUPE ROBLES
SECRETARY
4105 TWIN RISE
VON ORMY TX 78073

Officer/Director/Trustee Four

DERRICK HUTCHINSON
ASSOCIATE
6315 RIDGE FOREST
SAN ANTONIO TX 78233

Organization’s website REGULADORESGRAYTOWN.COM
Organization’s email GRAYTOWNREGS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I12 - Fund Raising and/or Fund Distribution
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 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
Signature Title
Signature Date

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