FORM 1023-EZ for CLAY COUNTY YOUTH CHARACTER BUILDING INC

Field Data
EIN 75-3177400
Case Number EO-2019203-000496
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLAY COUNTY YOUTH CHARACTER BUILDING INC
Organization’s Mailing Address 461 MCINTOSH AVE
City ORANGE PARK
State FL
ZIP 32073
Accounting period End 12
Primary contact name RONALD FLOWERS SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONALD FLOWERS
PRESIDENT
461 MCINTOSH AVE
ORANGE PARK FL 32073

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/05
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: 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 Yes
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 Yes
Correctness Declaration Yes
Signature Name RONALD FLOWERS
Signature Title PRESIDENT
Signature Date 7/19/19

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