FORM 1023-EZ for CAMDEN CLAY CRUSHERS

Field Data
EIN 84-3227683
Case Number EO-2019318-000158
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMDEN CLAY CRUSHERS
Organization’s Mailing Address 100 ARKSEN AVE
City CAMDEN
State AR
ZIP 71701
Accounting period End 12
Primary contact name NICK TUBERVILLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICK TUBERVILLE
ORGANIZER
3295 OUACHITA 3
CAMDEN AR 71701

Officer/Director/Trustee Two

BRITT CARMAN
ORGANIZER
119 N MUSTIN LAKE RD
CAMDEN AR 71701

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/19
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 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 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 NICK TUBERVILLE
Signature Title ORGANIZER
Signature Date 11/12/19

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