FORM 1023-EZ for EMERCY INC

Field Data
EIN 81-3895310
Case Number EO-2020129-000184
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMERCY INC
Organization’s Mailing Address 608 CACTUS DRIVE
City CONROE
State TX
ZIP 77304
Accounting period End 12
Primary contact name VICKI SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY LAURENCE
CHARIMAN OF THE BOARD
13214 COUNTRY OAK DRIVE
WILLIS TX 77318

Officer/Director/Trustee Two

ANGELA LAURENCE
TREASURER
13214 COUNTRY OAK DRIVE
WILLIS TX 77318

Officer/Director/Trustee Three

VICKI SCOTT
SECRETARY
2 GLEN CANYON PLACE
THE WOODLANDS TX 77381

Officer/Director/Trustee Four

MIKE HICKEY
BOARD MEMBER
16963 HUMMINGBIRD
CONROE TX 77385

Officer/Director/Trustee Five

SCOTT CAGGIANO
BOARD MEMBER
303 CEDAR RIDGE STREET
MAGNOLIA TX 77354

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F33 - Group Home, Residential Treatment Facility - Mental Health Related
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 No
Correctness Declaration Yes
Signature Name VICKI SCOTT
Signature Title SECRETARY
Signature Date 5/6/2020

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