FORM 1023-EZ for FRIENDS OF CLEVELAND INC

Field Data
EIN 81-4419434
Case Number EO-2016322-000183
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF CLEVELAND INC
Organization’s Mailing Address 24000 S STATE ROUTE D
City CLEVELAND
State MO
ZIP 64734
Accounting period End 12
Primary contact name RENE BURKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RENE BURKS
PRESIDENT
24101 S STATE LINE ROAD
CLEVELAND MO 64734

Officer/Director/Trustee Two

DAVID HIGH
VICE PRESIDENT
321 W MAIN STREET
CLEVELAND MO 64734

Officer/Director/Trustee Three

MARY ANN LARGE
SECRETARY
24000 S STATE ROUTE D
CLEVELAND MO 64734

Officer/Director/Trustee Four

ROSE HIGH
TREASURER
321 W MAIN STREET
CLEVELAND MO 64734

Organization’s website
Organization’s email OURBURKSFAMILY@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/2016
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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