FORM 1023-EZ for CLARENCE YOUNG MENS ORGANIZATION

Field Data
EIN 43-1331118
Case Number EO-2015030-000498
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLARENCE YOUNG MENS ORGANIZATION
Organization’s Mailing Address 121 WEST CHESTNUT
City CLARENCE
State MO
ZIP 63437
Accounting period End 12
Primary contact name KENDEL WOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSH BLEVINS
PRESIDENT
805 HILLTOP ROAD
CLARENCE MO 63437

Officer/Director/Trustee Two

BLAKE CONRAD
VICE PRESIDENT
16261 ROUTE DD
CLARENCE MO 63437

Officer/Director/Trustee Three

TYLER METTES
SECRETARY
31692 STATE HWY DD
MACON MO 63552

Officer/Director/Trustee Four

KENDEL WOOD
TREASURER
6695 HWY 151
CLARENCE MO 63437

Officer/Director/Trustee Five

BRENT WOOD
DIRECTOR
559 SHELBY 410
CLARENCE MO 63437

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/1971
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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