FORM 1023-EZ for THE CLAIRE FOUNDATION INC

Field Data
EIN 82-4076132
Case Number EO-2018022-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CLAIRE FOUNDATION INC
Organization’s Mailing Address 3824 HORSEMINT TRAIL
City LEXINGTON
State KY
ZIP 40509
Accounting period End 12
Primary contact name CHRYSTAL FOSTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMIE COMBS
OFFICER
3248 BRIGHTON PLACE DRIVE
LEXINGTON KY 40509

Officer/Director/Trustee Two

CHRYSTAL FOSTER
OFFICER
3903 BRANHAM PARK
LEXINGTON KY 40515

Officer/Director/Trustee Three

BRANDON EMBRY
DIRECTOR
3824 HORSEMINT TRAIL
LEXINGTON KY 40509

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/18/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G99 - Diseases, Disorders, Medical Disciplines N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRANDON EMBRY
Signature Title DIRECTOR
Signature Date 1/19/18

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