FORM 1023-EZ for CLYDE F GREEN FOUNDATION

Field Data
EIN 59-3645086
Case Number EO-2019337-000208
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLYDE F GREEN FOUNDATION
Organization’s Mailing Address 966 DOUGLAS AVENUE
City DUNEDIN
State FL
ZIP 34698
Accounting period End 12
Primary contact name TIMOTHY GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY GREEN
DIRECTOR
966 DOUGLAS AVENUE 321
DUNEDIN FL 34698

Organization’s website WWW.CLYDEFGREEN.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/00
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E11 - Single Organization Support
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name TIMOTHY GREEN
Signature Title DIRECTOR
Signature Date 11/29/19

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