FORM 1023-EZ for KATY AREA CERT

Field Data
EIN 82-4113446
Case Number EO-2018106-000882
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KATY AREA CERT
Organization’s Mailing Address 21201 MORTON ROAD
City KATY
State TX
ZIP 77449
Accounting period End 5
Primary contact name MARY PAYNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATTIE CREEL
PRESIDENT
3715 VERANDA DRIVE
KATY TX 77449

Officer/Director/Trustee Two

MARY PAYNE
VICE PRESIDENT
3602 SLOCOM DRIVE
KATY TX 77449

Officer/Director/Trustee Three

TARA RICE
TREASURER
2202 TREMONT TRAIL LN
KATY TX 77450

Officer/Director/Trustee Four

CLARRUTH SEATON
SECRETARY
1727 BARTON CREEK TR
KATY TX 77450

Officer/Director/Trustee Five

JASON WILFONG
DIRECTOR AT LARGE
20739 PINE RAIN CT
KATY TX 77449

Organization’s website
Organization’s email KATYAREACERT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/17
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
Organization’s purpose Charitable: Yes
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 MARY PAYNE
Signature Title VICE PRESIDENT
Signature Date 4/3/18

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