FORM 1023-EZ for CCCWB INC

Field Data
EIN 47-1259644
Case Number EO-2014227-000173
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CCCWB INC
Organization’s Mailing Address 2715 BOCA CHICA BLVD STE 3 NO 113
City BROWNSVILLE
State TX
ZIP 78521
Accounting period End 9
Primary contact name ALLISON VALLES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ADRIANA CAVAZOS
PRESIDENT
6625 WOODLANDS AVE
BROWNSVILLE TX 78521

Officer/Director/Trustee Two

CERISE REYNA DE GARDUNO
VICE PRESIDENT
2100 SAN MARCELO NO 101A
BROWNSVILLE TX 78521

Officer/Director/Trustee Three

VANESSA MANCHA
SECRETARY
28 POINSETTIA PLACE
BROWNSVILLE TX 78520

Officer/Director/Trustee Four

ALLISON VALLES
TREASURER
5004 FIRESTONE DR
HARLINGEN TX 78552

Officer/Director/Trustee Five

LYNETTE BENAVIDEZ
DIRECTOR
504 EAST LEVEE ST
BROWNSVILLE TX 78520

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2013
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I72 - Child Abuse, Prevention of
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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