FORM 1023-EZ for CLEARMONT COMMUNITY CENTER INC
| Field | Data |
|---|---|
| EIN | 84-2725569 |
| Case Number | EO-2019343-000288 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CLEARMONT COMMUNITY CENTER INC |
| Organization’s Mailing Address | 2075 BIG BRUSH CREEK ROAD |
| City | GREEN MOUNTAIN |
| State | NC |
| ZIP | 28740 |
| Accounting period End | 12 |
| Primary contact name | LISA SHEPARD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TIM AUTREY
PRESIDENT
2075 BIG BRUSH CREEK ROAD
GREEN MOUNTAIN NC 28714
Officer/Director/Trustee Two
LISA SHEPARD
VICE PRESIDENT
532 BARN ROAD
BURNSVILLE NC 28714
Officer/Director/Trustee Three
RENEE MEIER
TREASURER
1127 POUND MILL BRANCH ROAD
BURNSVILLE NC 28714
Officer/Director/Trustee Four
SAMANTHA BYRD
SECRETARY
445 SAM J BYRD ROAD
BURNSVILLE NC 28714
Officer/Director/Trustee Five
MICHAEL TIPTON
VICE PRESIDENT-OPERATIONS
78 WILD TURKEY LANE
GREEN MOUNTAIN NC 28740
| Organization’s website | |
|---|---|
| Organization’s email | CLEARMONTCOMMUNITY@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/2/2019 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P28 - Neighborhood Centers, Settlement Houses |
| 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 | Yes |
| 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 | TIM AUTREY |
| Signature Title | PRESIDENT |
| Signature Date | 12/5/2019 |
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