FORM 1023-EZ for THE CONROE CLUB

Field Data
EIN 90-0069232
Case Number EO-2014365-000113
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CONROE CLUB
Organization’s Mailing Address PO BOX 323
City CONROE
State TX
ZIP 77304
Accounting period End 12
Primary contact name JOHN WAGNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MIKE HICKEY
PRESIDENT
16963 HUMMINGBIRD
CONROE TX 77303

Officer/Director/Trustee Two

JOHN WAGNER
TREASURER
804 YELLOWSTONE RIVER
MONTGOMERY TX 77316

Officer/Director/Trustee Three

DOUG NESS
VICE-PRESIDENT
5 HILLCREST DRIVE
CONROE TX 77303

Officer/Director/Trustee Four

STEVE ODANIEL
SECRETARY
1108 CEDAR CREEK DRIVE
CONROE TX 77301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2002
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 No
One Third Support Gifts Yes
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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