FORM 1023-EZ for SIMPLY 4 ORPHANS INC

Field Data
EIN 46-3898818
Case Number EO-2015146-000180
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SIMPLY 4 ORPHANS INC
Organization’s Mailing Address 1211 FOREST AVE
City MONROE
State NC
ZIP 28112
Accounting period End 12
Primary contact name DAVID CLEMMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID CLEMMER
PRESIDENT
1211 FOREST AVE
MONROE NC 28112

Officer/Director/Trustee Two

ANGELA CLEMMER
VICE PRESIDENT
1211 FOREST AVE
MONROE NC 28112

Officer/Director/Trustee Three

MAISIE CLEMMER
DIRECTOR OF OPERATIONS PERU
1211 FOREST AVE
MONROE NC 28112

Officer/Director/Trustee Four

MADISON HOWARD
TREASURER
600 S HAYNE ST
MONROE NC 28112

Officer/Director/Trustee Five

ALYSON JORDAN
SECRETARY
214 LAMPLIGHTER LANE
MOUNT HOLLY NC 28120

Organization’s website
Organization’s email SIMPLY4PERU@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/2013
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
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 Yes
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 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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