| Field | Data |
|---|---|
| EIN | 83-1548234 |
| Case Number | EO-2019186-000376 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | ANNIE CLEMENT FOUNDATION |
| Organization’s Mailing Address | 718 CHESTNUT AVE |
| City | DUBOIS |
| State | PA |
| ZIP | 15801 |
| Accounting period End | 12 |
| Primary contact name | KATHLEEN CLEMENT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
KATHLEEN CLEMENT
PRESIDENT/TREASURER
718 CHESTNUT AVE
DUBOIS PA 15801
KRISTEN VIDA
VICE PRESIDENT
929 CHESTNUT AVE
DUBOIS PA 15801
MELISSA FLETCHER NOROSKI
SECRETARY
580 GOLDEN YOKE RD
LUTHERSBURG PA 15848
BILL CUBA
BOARD MEMBER
24 BROWN STREET
DUBOIS PA 15801
KERI CUBA
BOARD MEMBER
24 BROWN STREET
DUBOIS PA 15801
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/15/18 |
| Organization Incorporation State | PA |
| 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: Yes Educational: Yes Scientific: Yes 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 | KATHLEEN CLEMENT |
| Signature Title | PRESIDENT/TREASURER |
| Signature Date | 7/3/19 |
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