FORM 1023-EZ for FRIENDS OF CLARKO STATE PARK INC

Field Data
EIN 82-5246187
Case Number EO-2020196-000238
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF CLARKO STATE PARK INC
Organization’s Mailing Address 386 CLARKO ROAD
City QUITMAN
State MS
ZIP 39355
Accounting period End 12
Primary contact name JIM POTUK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIM POTUK
DIRECTOR
2307 COUNTY ROAD 378
ENTERPRISE MS 39330

Officer/Director/Trustee Two

MARSHA ROBERTS
PRESIDENT
504 COUNTY ROAD 676
QUITMAN MS 39355

Officer/Director/Trustee Three

VERLYNN ROBINSON
VICE PRESIDENT
307 MULBERRY LANE
QUITMAN MS 39355

Officer/Director/Trustee Four

LINDA NEAL
SECRETARY
260 DOGWOOD AVENUE
QUITMAN MS 39355

Officer/Director/Trustee Five

SANDIE BLACKWELL
TREASURER
121 COUNTY ROAD 475
MERIDIAN MS 39301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/2018
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C50 - Environmental Beautification and Aesthetics
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JIM POTUK
Signature Title DIRECTOR
Signature Date 6/11/2020

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