FORM 1023-EZ for CLAY CREATIVE ACADEMY INC

Field Data
EIN 84-3641134
Case Number EO-2019324-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLAY CREATIVE ACADEMY INC
Organization’s Mailing Address 7309 CORAL LAKE DR
City FLOWERY BRANCH
State GA
ZIP 30542
Accounting period End 12
Primary contact name JENEEN HAMMOND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENEEN HAMMOND
PRESIDENT, DIRECTOR
PO BOX 338
FLOWERY BRANCH GA 30542

Officer/Director/Trustee Two

MICHAEL HAMMOND
TREASURER, DIRECTOR
7309 CORAL LAKE DR
FLOWERY BRANCH GA 30542

Officer/Director/Trustee Three

TONI JONES
SECRETARY, DIRECTOR
1073 NINA HWY
BREAUX BRIDGE LA 70517

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/19
Organization Incorporation State GA
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 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 JENEEN HAMMOND
Signature Title PRESIDENT, DIRECTOR
Signature Date 11/18/19

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