FORM 1023-EZ for CUESIGN CAMP INC

Field Data
EIN 82-0818056
Case Number EO-2017083-000088
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CUESIGN CAMP INC
Organization’s Mailing Address 21327 VILLAGE GREEN CIRCLE
City GERMANTOWN
State MD
ZIP 20876
Accounting period End 12
Primary contact name AMY CRUMRINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY CRUMRINE
PRESIDENT AND DIRECTOR
21327 VILLAGE GREEN CIRCLE
GERMANTOWN MD 20876

Officer/Director/Trustee Two

MEGAN THOMAS
SECRETARY AND DIRECTOR
14472 WEST ARCHER AVENUE
GOLDEN CO 80401

Officer/Director/Trustee Three

DANIEL KOO
TREASURER AND DIRECTOR
6205 CHRISTIAN KEMP DRIVE
FREDERICK MD 21703

Officer/Director/Trustee Four

NICOLE DUGAN
DIRECTOR
22 WALTON ROAD
ROCHESTER NY 14620

Officer/Director/Trustee Five

ANGELA KUHN
DIRECTOR
842 W DOUGLAS AVENUE
JACKSONVILLE IL 62650

Organization’s website
Organization’s email ACRUMRINE@CUEDSPEECH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P87 - Deaf/Hearing Impaired Centers, Services
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 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
Signature Title
Signature Date

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