FORM 1023-EZ for CLIFF ISLAND COMMUNITY MEMORIAL FUND

Field Data
EIN 10-0393670
Case Number EO-2016102-000368
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLIFF ISLAND COMMUNITY MEMORIAL FUND
Organization’s Mailing Address PO BOX 34
City CLIFF ISLAND
State ME
ZIP 04019
Accounting period End 12
Primary contact name ROGER BERLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROGER BERLE
PRESIDENT
11 OASIS LANDING
FALMOUTH ME 04105

Officer/Director/Trustee Two

ANNA DYER
TREASURER
97 CEMETERY DRIVE
CLIFF ISLAND ME 04019

Officer/Director/Trustee Three

ANNE FULLERTON
SECRETARY
8 SOUTH ROAD
CLIFF ISLAND ME 04019

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2000
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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