FORM 1023-EZ for CLAYTONIA TERRACE RESIDENTS ASSOCIATION

Field Data
EIN 47-3671308
Case Number EO-2015114-000149
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLAYTONIA TERRACE RESIDENTS ASSOCIATION
Organization’s Mailing Address 1431 CLAYTONIA TERRACE
City RICHMOND HEIGHTS
State MO
ZIP 63117
Accounting period End 12
Primary contact name DANA MALKUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAREN PITKIN
PRESIDENT AND DIRECTOR
1431 CLAYTONIA TERRACE
RICHMOND HEIGHTS MO 63117

Officer/Director/Trustee Two

SYMA WAXMAN
TREASURER AND DIRECTOR
1431 CLAYTONIA TERRACE
RICHMOND HEIGHTS MO 63117

Officer/Director/Trustee Three

CINDY HULTS
VICE PRESIDENT AND DIRECTOR
1431 CLAYTONIA TERRACE
RICHMOND HEIGHTS MO 63117

Officer/Director/Trustee Four

DEBRA FALKINER
SECRETARY AND DIRECTOR
1431 CLAYTONIA TERRACE
RICHMOND HEIGHTS MO 63117

Officer/Director/Trustee Five

CAROL FRITZ
MEMBER
1431 CLAYTONIA TERRACE
RICHMOND HEIGHTS MO 63117

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2015
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S22 - Neighborhood, Block Associations
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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