FORM 1023-EZ for LIVINGSTON COUNCIL FORM ALCOHOL ANDDRUG ABUSE

Field Data
EIN 76-0691611
Case Number EO-2015240-000274
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIVINGSTON COUNCIL FORM ALCOHOL ANDDRUG ABUSE
Organization’s Mailing Address 186 GOODNIGHT TRAIL
City LIVINGSTON
State TX
ZIP 77351
Accounting period End 12
Primary contact name EARL RATLIFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EARL RATLIFF
PRESIDENT
1911 NORTH HOUSTON AVE
LIVINGSTON TX 77351-2108

Officer/Director/Trustee Two

JANICE RATLIFF
TREASURER
1911 NORTH HOUSTON AVE
LIVINGSTON TX 77351-2108

Officer/Director/Trustee Three

SHAWNNA AGATE
SECRETARY
1911 NORTH HOUSTON AVE
LIVINGSTON TX 77351-2108

Officer/Director/Trustee Four

CARL DILLARD
VICE PRESIDENT
1911 NORTH HOUSTON AVE
LIVINGSTON TX 77351-2108

Officer/Director/Trustee Five

JEFF COPELAND
VICE PRESIDENT
1911N/A NORTH HOUSTON AVE
LIVINGSTON TX 77351-2108

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2001
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F11 - Single Organization Support
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 Yes
One Third Support Gifts No
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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