FORM 1023-EZ for CLERFOND FOUNDATION INC

Field Data
EIN 27-2050488
Case Number EO-2019030-000443
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLERFOND FOUNDATION INC
Organization’s Mailing Address 55 PHILLIPS ST
City MIDDLETOWN
State NY
ZIP 10940
Accounting period End 12
Primary contact name NATACHA CLERFOND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATACHA CLERFOND
FOUNDER
55 PHILLIPS STREET
MIDDLETOWN NY 10940

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/10
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NATACHA CLERFOND
Signature Title FOUNDER
Signature Date 12/21/18

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