FORM 1023-EZ for DR EMMETT J CONRAD FOUNDATION INC

Field Data
EIN 75-2773335
Case Number EO-2015057-000074
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DR EMMETT J CONRAD FOUNDATION INC
Organization’s Mailing Address 5787 SOUTH HAMPTON ROAD SUITE 385
City DALLAS
State TX
ZIP 75232
Accounting period End 12
Primary contact name LAJUANA BARTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LAJUANA BARTON
DIRECTOR
608 SAPLING WAY
DESOTO TX 75115

Officer/Director/Trustee Two

ELEANOR CONRAD
DIRECTOR
2003 LANARK
DALLAS TX 75203

Officer/Director/Trustee Three

BROOKS FITCH
DIRECTOR
49 WILLIAMSBURG DRIVE
SPRINGFIELD MA 01108

Officer/Director/Trustee Four

TERESA MORENO
DIRECTOR
1120 MOUNTAIN LAKE ROAD
DALLAS TX 75224

Officer/Director/Trustee Five

DAN JEFFERSON
DIRECTOR
400 SOUTH ZANG SUITE 1010
DALLAS TX 75208

Organization’s website CONRADLEADERSHIPCOM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/1997
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: No
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 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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