FORM 1023-EZ for CLINTON COUNTY 4-H ADVISORY COUNCILINCORPORATED

Field Data
EIN 31-0914732
Case Number EO-2019156-000131
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLINTON COUNTY 4-H ADVISORY COUNCILINCORPORATED
Organization’s Mailing Address 1111 S JACKSON ST
City FRANKFORT
State IN
ZIP 46041
Accounting period End 12
Primary contact name CAREN CRUM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAREN CRUM
4-H EDUCATOR/DIRECTOR
3482 W 650 S
ROSSVILLE IN 46065

Officer/Director/Trustee Two

BLAINE BROWN
PRESIDENT
5109 N STATE ROAD 75
FRANKFORT IN 46041

Officer/Director/Trustee Three

MARK CLEMENTS
VICE PRESIDENT
6565 S COUNTY ROAD 900 E
KIRKLIN IN 46050

Officer/Director/Trustee Four

EMILY EATON
SECRETARY
470 N COUNTY ROAD 500 E
FRANKFORT IN 46041

Officer/Director/Trustee Five

SUSIE RHINE
TREASURER
357 W COUNTY ROAD 200 S
FRANKFORT IN 46041

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CAREN CRUM
Signature Title 4-H EDUCATOR/DIRECTOR
Signature Date 6/3/19

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