FORM 1023-EZ for CHAMPION RESPONDERS

Field Data
EIN 47-4313792
Case Number EO-2015182-000143
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHAMPION RESPONDERS
Organization’s Mailing Address 110 W SANDY LAKE ROAD 102 PMB 117
City COPPELL
State TX
ZIP 75019
Accounting period End 12
Primary contact name STEVE CALVERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEVE CALVERT
DIRECTOR AND PRESIDENT
110 W SANDY LAKE ROAD 102 PMB 117
COPPELL TX 75019

Officer/Director/Trustee Two

GINA CALVERT
DIRECTOR AND TREASURER
110 W SANDY LAKE ROAD 102 PMB 117
COPPELL TX 75019

Officer/Director/Trustee Three

CHRISTOPHER SEIDMAN
DIRECTOR
135 NEWPORT
COPPELL TX 75019

Officer/Director/Trustee Four

WYATT DOTY
DIRECTOR
4144 TOWNE GREEN CIRCLE
ADDISON TX 75001

Officer/Director/Trustee Five

GLENDA CHEEK
SECRETARY
1215 S LOOP DRIVE
WACO TX 76704

Organization’s website WWW.CHAMPIONRESPONDERS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 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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