FORM 1023-EZ for XTREME OBEDIENCE

Field Data
EIN 81-3015753
Case Number EO-2016293-000434
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name XTREME OBEDIENCE
Organization’s Mailing Address 2323 STABLERIDGE DR
City CONROE
State TX
ZIP 77384
Accounting period End 12
Primary contact name JOHNATHAN JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN COFFEY
DIRECTOR
2323 STABLERIDGE DR
CONROE TX 77384

Officer/Director/Trustee Two

ANDREW HILL
DIRECTOR
3600 COLLEGE PARK DR
THE WOODLANDS TX 77384

Officer/Director/Trustee Three

MELISSA COFFEY
DIRECTOR
2323 STABLERIDGE DR
CONROE TX 77384

Officer/Director/Trustee Four

KELLY CURRY
DIRECTOR
3 WINGED FOOT DR
CONROE TX 77304

Officer/Director/Trustee Five

SALLY HALMBACHER
DIRECTOR
287 WOOD DUCK LANE
CALDWELL TX 77836

Organization’s website XTREMEOBEDIENCE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: Yes
Religious: Yes
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 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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