FORM 1023-EZ for ELLIS CLARK FOUNDATION

Field Data
EIN 47-2984607
Case Number EO-2018330-000106
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELLIS CLARK FOUNDATION
Organization’s Mailing Address 2939 IROQUOIS STREET
City DETROIT
State MI
ZIP 48214-1837
Accounting period End 12
Primary contact name LEON CLARK III
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEON CLARK III
DIRECTOR
2939 IROQUOIS STREET
DETROIT MI 48214-1837

Officer/Director/Trustee Two

RENITA CLARK
DIRECTOR
2939 IROQUOIS STREET
DETROIT MI 48214-1837

Organization’s website ELLISCLARKFOUNDATION.ORG
Organization’s email ELLIS@ELLISCLARKFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/15
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
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 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 Yes
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 LEON CLARK III
Signature Title DIRECTOR
Signature Date 11/23/18

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