FORM 1023-EZ for NOT A GLUM LOT

Field Data
EIN 83-2033287
Case Number EO-2018323-000473
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NOT A GLUM LOT
Organization’s Mailing Address 1719 PEBBLE BROOK DR
City AUSTIN
State TX
ZIP 78752-2139
Accounting period End 12
Primary contact name PATRICK HENSLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK HENSLEY
CHAIRMAN
1719 PEBBLE BROOK DR
AUSTIN TX 78752-2139

Officer/Director/Trustee Two

BRENT HAGGARD
TREASURER
1719 PEBBLE BROOK DR
AUSTIN TX 78752-2139

Officer/Director/Trustee Three

CHRISTOPHER PORTER
SECRETARY
1501 TERRAPIN COURT UNIT B
AUSTIN TX 78746-6704

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PATRICK HENSLEY
Signature Title CHAIRMAN
Signature Date 11/16/18

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