FORM 1023-EZ for FRIENDS OF MIKE CLEMENT

Field Data
EIN 47-1704137
Case Number EO-2015201-000167
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF MIKE CLEMENT
Organization’s Mailing Address 204 SADDLE RIDGE DR
City CEDAR PARK
State TX
ZIP 78613
Accounting period End 12
Primary contact name MARK CASEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK CASEY
DIRECTOR
204 SADDLE RIDGE DR
CEDAR PARK TX 78613

Officer/Director/Trustee Two

TRACEY CHARLSON
DIRECTOR
620 N COPPELL RD NO 1902
COPPELL TX 75019

Officer/Director/Trustee Three

DAVID CLEMENT
DIRECTOR
2110 SAN MIGUEL
FRIENDSWOOD TX 77546

Organization’s website WWW.FRIENDSOFMIKECLEMENT.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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
Signature Title
Signature Date

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