FORM 1023-EZ for MONTGOMERY LAKE CONROE CENTENNIAL LIONS CLUB CHARITIES INC

Field Data
EIN 83-1534354
Case Number EO-2018261-000170
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MONTGOMERY LAKE CONROE CENTENNIAL LIONS CLUB CHARITIES INC
Organization’s Mailing Address PO BOX 2074
City MONTGOMERY
State TX
ZIP 77356
Accounting period End 6
Primary contact name VICKI MIGUES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEWAYNE HAWKINS
PRESIDENT
3122 CANDLEWOOD LN
MONTGOMERY TX 77356-7926

Officer/Director/Trustee Two

MARTY GORMAN
VICE PRESIDENT
2914 HEMINGWAY DR
MONTGOMERY TX 77356-7902

Officer/Director/Trustee Three

ZUBIAN SHAMSHER
TREASURER
10 LAGUNA RD
MONTGOMERY TX 77356-5337

Officer/Director/Trustee Four

SHIRLEY ABT
SECRETARY
3122 CANDLEWOOD LN
MONTGOMERY TX 77356-7926

Officer/Director/Trustee Five

VICKI MIGUES
2ND VICE PRESIDENT
12800 MELVILLE DR A310
MONTGOMERY TX 77356-7929

Organization’s website
Organization’s email VICKIMIGUES@MSN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
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 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 VICKI MIGUES
Signature Title 2ND VICE PRESIDENT
Signature Date 9/16/18

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