FORM 1023-EZ for DAMIANS DELIVERANCE INC

Field Data
EIN 83-2857261
Case Number EO-2019087-000275
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DAMIANS DELIVERANCE INC
Organization’s Mailing Address 33 LOCUST LN
City FLORENCE
State KY
ZIP 41042-2524
Accounting period End 12
Primary contact name ALEXANDRA CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXANDRA CLARK
PRESIDENT
33 LOCUST LN
FLORENCE KY 41042-2524

Officer/Director/Trustee Two

BRANDON CLARK
VICE PRESIDENT/TREASURER
33 LOCUST LN
FLORENCE KY 41042-2524

Officer/Director/Trustee Three

SUSAN SHARROCK
SECRETARY
33 LOCUST LN
FLORENCE KY 41042-2524

Organization’s website
Organization’s email DAMIANS.DELIVERANCE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/19
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 ALEXANDRA CLARK
Signature Title PRESIDENT
Signature Date 3/26/19

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