FORM 1023-EZ for THE CLINT VAN NAGEL FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 47-3935480 |
| Case Number | EO-2015131-000439 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | THE CLINT VAN NAGEL FOUNDATION INC |
| Organization’s Mailing Address | 936 WEST TENNESSEE TRACE |
| City | ST JOHNS |
| State | FL |
| ZIP | 32259 |
| Accounting period End | 12 |
| Primary contact name | DAVID RAY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
CLEMENT VAN NAGEL
DIRECTOR
10843 BLUE PACIFIC COURT
JACKSONVILLE FL 32257
Officer/Director/Trustee Two
DAVID RAY
DIRECTOR
936 WEST TENNESSEE TRACE
ST JOHNS FL 32259
Officer/Director/Trustee Three
SHANNON KELEIGH
DIRECTOR
1451 SALLEY AVENUE
THE VILLAGES FL 32162
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/27/2015 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O50 - Youth Development Programs, Other |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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