FORM 1023-EZ for CLIO CHARITY

Field Data
EIN 61-1787932
Case Number EO-2016139-000429
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLIO CHARITY
Organization’s Mailing Address 1365 SUMAC DR
City LOGAN
State UT
ZIP 84321-4819
Accounting period End 12
Primary contact name CARL MALOUF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KATHY CHRISTIANSEN
PRESIDENT TRUSTEE
234 N 810 EAST
SMITHFIELD UT 84335

Officer/Director/Trustee Three

CAROLYN BENTLEY
SECRETARY TRUSTEE
1118 LAMPLIGHTER DR
RIVER HEIGHTS UT 84321

Officer/Director/Trustee Four

JEROLYN MALOUF
ASST TREASURER
1221 THRUSHWOOD DR
LOGAN UT 84321-4831

Officer/Director/Trustee Five

MARY HEERS
VICE PRES TRUSTEE
590 N100 WEST
MENDON UT 84325

Organization’s website
Organization’s email MALOUFCARL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2016
Organization Incorporation State UT
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: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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