FORM 1023-EZ for HILL COUNTRY KOZ

Field Data
EIN 47-2298293
Case Number EO-2015191-000228
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HILL COUNTRY KOZ
Organization’s Mailing Address 275 HANNAH DR
City DRIPPING SPRINGS
State TX
ZIP 78620
Accounting period End 12
Primary contact name WISON ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILSON ALLEN
PRESIDENT
275 HANNAH DR
DRIPPING SPRINGS TX 78620

Officer/Director/Trustee Two

MATT FARMER
VICE PRESIDENT
10010 WEST CAVE LOOP
DRIPPING SPRINGS TX 78620

Officer/Director/Trustee Three

TOM GRASS
TREASURER
790 LOST VALLEY RD
DRIPPING SPRINGS TX 78620

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
Religious: Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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