FORM 1023-EZ for THE CLOTHING CENTER AT MINNIES MAISON INC

Field Data
EIN 81-3016391
Case Number EO-2016260-000129
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CLOTHING CENTER AT MINNIES MAISON INC
Organization’s Mailing Address PO BOX 4353
City DAVENPORT
State IA
ZIP 52808-4353
Accounting period End 12
Primary contact name CAROLYN BATES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLYN BATES
PRESIDENT/DIRECTOR
12470 255TH STREET
DONAHUE IA 52746

Officer/Director/Trustee Two

OLIVIA ORTEGA
TREASURER
924 GRANT STREET
BETTENDORF IA 52722

Officer/Director/Trustee Three

SUSAN SCHWARTZ
SECRETARY/DIRECTOR
3403 32ND STREET
MOLINE IL 61265

Officer/Director/Trustee Four

CHRIS BROWN
VICE-PRESIDENT/DIRECTOR
1711 LINCOLN CT
ROCK ISLAND IL 61201

Officer/Director/Trustee Five

RICHARD ADAM
DIRECTOR
422 E 10TH STREET
DAVENPORT IA 52803

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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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