FORM 1023-EZ for THE VILLAGES CLOWN ALLEY 179 INC

Field Data
EIN 81-2277288
Case Number EO-2016125-000141
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE VILLAGES CLOWN ALLEY 179 INC
Organization’s Mailing Address PO BOX 60
City LADY LAKE
State FL
ZIP 32158
Accounting period End 12
Primary contact name ALENE KRAUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALENE KRAUS
PRESIDENT
1298 ALLAIRE LOOP
THE VILLAGES FL 32163

Officer/Director/Trustee Two

ANNEMARIE PRIORIELLO
VICE PRESIDENT
1639 CAMPOS DRIVE
THE VILLAGES FL 32162

Officer/Director/Trustee Three

PATRICIA CUPITT
SECRETARY
1036 ALCOVE LOOP
THE VILLAGES FL 32162

Officer/Director/Trustee Four

PATRICIA REILLY
TREASURER
471 ARBELLA LOOP
THE VILLAGES FL 32162

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2016
Organization Incorporation State FM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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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