FORM 1023-EZ for COLTEN CARNEY MEMORIAL FUND INC

Field Data
EIN 83-1567596
Case Number EO-2018229-000360
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLTEN CARNEY MEMORIAL FUND INC
Organization’s Mailing Address 5078 RED OAK DRIVE
City ROYSE CITY
State TX
ZIP 75189-2850
Accounting period End 12
Primary contact name DWAYNE CARNEY JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAELLE CARNEY
PRESIDENT
5078 RED OAK DRIVE
ROYSE CITY TX 75189-2850

Officer/Director/Trustee Two

KELLYE ROBERTSON
TREASURER
6162 GRAHAM POINT TRAIL
ROYSE CITY TX 75189-2850

Officer/Director/Trustee Three

VICTORIA CARNEY
CHAIRPERSON
5078 RED OAK DRIVE
ROYSE CITY TX 75189-2850

Officer/Director/Trustee Four

ANNA BLAIR
SECRETARY
636 PRICE DR
ROCKWALL TX 75032

Officer/Director/Trustee Five

EDDIE LOPEZ
VOTING MEMBER
2807 W JESSICA LN
PHOENIX AZ 85041

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 MICHAELLE CARNEY
Signature Title PRESIDENT
Signature Date 8/15/18

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