FORM 1023-EZ for THE CLARE COX HOUSE INC

Field Data
EIN 83-0575638
Case Number EO-2018145-000640
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CLARE COX HOUSE INC
Organization’s Mailing Address 764 PENINSULA OVERLOOK
City HAMPTON
State GA
ZIP 30228-6062
Accounting period End 12
Primary contact name TASHIKA COX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLAYTON COX
FOUNDING DIRECTOR
764 PENINSULA OVERLOOK
HAMPTON GA 30228-6062

Officer/Director/Trustee Two

TASHIKA COX
BOARD CHAIR
764 PENINSULA OVERLOOK
HAMPTON GA 30228-6062

Officer/Director/Trustee Three

TASHA JONES
TREASURER
1871 PLAZA LANE APT C3
ATLANTA GA 30311-5039

Officer/Director/Trustee Four

TIFFANY PACE
SECRETARY
3000 CONTINENTAL COLONY PKWY APT F
ATLANTA GA 30331-3030

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 CLAYTON COX
Signature Title FOUNDING DIRECTOR
Signature Date 5/23/18

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