FORM 1023-EZ for CLIFTON EDWARDS SR CDC INC

Field Data
EIN 47-5186895
Case Number EO-2019238-000701
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLIFTON EDWARDS SR CDC INC
Organization’s Mailing Address 5616 WEST AVE M4
City LANCASTER
State CA
ZIP 93536
Accounting period End 12
Primary contact name PAMELA HELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA HELLER
PRESIDENT
5616 WEST AVE M4
LANCASTER CA 93536

Officer/Director/Trustee Two

DAPHENE COWAN
VICE PRESIDENT
43920 GILLIAN AVE
LANCASTER CA 93535

Officer/Director/Trustee Three

FRANCES TURNER
TREASURER
5616 WEST AVE M4
LANCASTER CA 93536

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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 PAMELA HELLER
Signature Title PRESIDENT
Signature Date 8/24/19

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