FORM 1023-EZ for CLEAR CREEK CEMETERY ASSOCIATION

Field Data
EIN 32-0613804
Case Number EO-2019338-000199
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLEAR CREEK CEMETERY ASSOCIATION
Organization’s Mailing Address PO BOX 1464
City CAMP VERDE
State AZ
ZIP 86322
Accounting period End 12
Primary contact name LINDA CALLAHAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA CALLAHAN
PRESIDENT
2221 SIERRA VISTA 28
CAMP VERDE AZ 86322

Officer/Director/Trustee Two

BRENDA HAUSER
TREASURER
1105 S AFTON ST PO BOX 1042
CAMP VERDE AZ 86322

Officer/Director/Trustee Three

PAM JACKSON
SECRETARY
455 SUNSHINE
CAMP VERDE AZ 86322

Officer/Director/Trustee Four

BEN BUELER
DIRECTOR
143 W ARNOLD
CAMP VERDE AZ 86322

Officer/Director/Trustee Five

WES GIRARD
DIRECTOR
PO BOX 1674
CAMP VERDE AZ 86322

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/1961
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A82 - Historical Preservation
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 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 LINDA CALLAHAN
Signature Title PRESIDENT
Signature Date 12/2/2019

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