FORM 1023-EZ for MOUNT CARMEL LODGE NO 44

Field Data
EIN 83-0598260
Case Number EO-2018239-000739
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOUNT CARMEL LODGE NO 44
Organization’s Mailing Address 15812 WATERLOO ROAD
City CLEVELAND
State OH
ZIP 44110
Accounting period End 12
Primary contact name DEQUAN WILLOUGHBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEQUAN WILLOUGHBY
TREASURER
4635 EAST 153RD STREET
CLEVELAND OH 44128

Officer/Director/Trustee Two

XAVIER KING
SECRETARY
15812 WATERLOO ROAD
CLEVELAND OH 44110

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X90 - Interfaith Issues
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEQUAN WILLOUGHBY
Signature Title TREASURER
Signature Date 8/24/18

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