FORM 1023-EZ for JERSEY VOLTAGE ROBOTICS PARENT BOOSTER ORGANIZATION LLC

Field Data
EIN 84-3532795
Case Number EO-2019305-000321
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JERSEY VOLTAGE ROBOTICS PARENT BOOSTER ORGANIZATION LLC
Organization’s Mailing Address 16113 SAINT HELIER
City JERSEY VILLAGE
State TX
ZIP 77040-2059
Accounting period End 6
Primary contact name PHYLLIS CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIFFINEY GLAZE
PRESIDENT
11515 INGA LANE
HOUSTON TX 77064

Officer/Director/Trustee Two

SLOAN ESSMAN
VICE PRESIDENT
9539 KELSEY MEADOWS COURT
HOUSTON TX 77040

Officer/Director/Trustee Three

LARRY STONE
TREASURER
16006 JERSEY DRIVE
HOUSTON TX 77040

Officer/Director/Trustee Four

RICHARD BUGBEE
SECRETARY
9534 PECAN GLEN COURT
HOUSTON TX 77040

Officer/Director/Trustee Five

PHYLLIS CLARK
ASST TREASURER
16113 SAINT HELIER
HOUSTON TX 77040

Organization’s website HTTPS://JERSEYVOLTAGE.COM/
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/2019
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: No
Religious: No
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 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 PHYLLIS CLARK
Signature Title ASST TREASURER
Signature Date 10/30/2019

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