FORM 1023-EZ for CLAY COUNTY RESCUE MISSION INC

Field Data
EIN 85-1899571
Case Number EO-2021112-000335
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLAY COUNTY RESCUE MISSION INC
Organization’s Mailing Address 1717 COUNTY RD 220 UNIT 3704
City FLEMING ISLAND
State FL
ZIP 32003
Accounting period End 12
Primary contact name DEBBIE DUNN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMELIA HOUSTON
PRESIDENT
1717 COUNTY RD 220 UNIT 3704
FLEMING ISLAND FL 32003

Officer/Director/Trustee Two

KRIS KESSLER
VICE PRESIDENT
918 SAINT JOHNS AVE
GREEN COVE SPRINGS FL 32043

Officer/Director/Trustee Three

DEBBIE DUNN
SECRETARY
2859 LONGLEAF RANCH CIR
MIDDLEBURG FL 32068

Organization’s website WWW.CLAYCOUNTYRESCUEMISSION.ORG
Organization’s email AMY@CLAYCOUNTYRESCUEMISSION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
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 Yes
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 AMELIA HOUSTON
Signature Title PRESIDENT
Signature Date 4/20/2021

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