FORM 1023-EZ for CLEAR THE LIST
| Field | Data |
|---|---|
| EIN | 82-1506266 |
| Case Number | EO-2017290-000244 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CLEAR THE LIST |
| Organization’s Mailing Address | 5250 DAKOTA NUMBER 1 |
| City | WEST DES MOINES |
| State | IA |
| ZIP | 50265 |
| Accounting period End | 12 |
| Primary contact name | NICHOLE JEFFERSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MABLE HILBURN
BOARD CHAIR
10235 DEERMONT
DALLAS TX 75243
Officer/Director/Trustee Two
PAUL JEFFERSON
VICE CHAIR
11302 DEL MONTE
HOUSTON TX 77077
Officer/Director/Trustee Three
COURTNEY WILLIAMS
SECRETARY
515 SE CARDINAL LANE
WAUKEE IA 50265
Officer/Director/Trustee Four
NICHOLE JEFFERSON
TRUSTEE
5250 DAKOTA NUMBER 1
WEST DES MOINES IA 50265
Officer/Director/Trustee Five
TALER JEFFERSON
TRUSTEE
5250 DAKOTA NUMBER 1
WEST DES MOINES IA 50265
| Organization’s website | WWW.CLEARTHELIST.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/9/2017 |
| Organization Incorporation State | IA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G44 - Kidney Disease |
| 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 | Yes |
| 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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