FORM 1023-EZ for MID-COUNTY SENIOR CITIZENS ASSOCIATION INC

Field Data
EIN 76-0010469
Case Number EO-2016088-000556
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MID-COUNTY SENIOR CITIZENS ASSOCIATION INC
Organization’s Mailing Address 914 BOSTON AVE
City NEDERLAND
State TX
ZIP 77627
Accounting period End 12
Primary contact name RUSSELL TEGGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DIANE LAPOINT
DIRECTOR
2417 AVE C
NEDERLAND TX 77627

Officer/Director/Trustee Two

NANCY BERNARD
PRES/TREASURER
1503 JACKSON
NEDERLAND TX 77627

Officer/Director/Trustee Three

DORIS PARSONS
VP/ TREASURER
307 SOUTH 4TH STREET
NEDERLAND TX 77627

Officer/Director/Trustee Four

JONI UNDERWOOD
SECRETARY
1426 N 20TH STREET
MEDERLAND TX 77627

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/1981
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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