FORM 1023-EZ for CODY DRAGOO MEMORIAL FUND

Field Data
EIN 84-2888378
Case Number EO-2019266-000201
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CODY DRAGOO MEMORIAL FUND
Organization’s Mailing Address 6906 MICKWAYNE CT
City HOUSTON
State TX
ZIP 77069
Accounting period End 12
Primary contact name BEENA SOIEFER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RON SUMNER
DIRECTOR
6906 MICKWAYNE CT
HOUSTON TX 77069

Officer/Director/Trustee Two

TONY KUBACAK
DIRECTOR
409 WINDSONG LANE
WEST TX 76691

Officer/Director/Trustee Three

RANAE KNUTSON
DIRECTOR
P O BOX 394
WEST TX 76691

Officer/Director/Trustee Four

SARAH MATTHYS
DIRECTOR
P O BOX 304
WEST TX 76691

Officer/Director/Trustee Five

DENNIS KOLAR
DIRECTOR
9395 HERIGAGE PARKWAY
WEST TX 76691

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 Yes
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 RON SUMNER
Signature Title DIRECTOR
Signature Date 9/19/19

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