FORM 1023-EZ for THE CLOWN MOTEL FOUNDATION

Field Data
EIN 86-2981226
Case Number EO-2021100-001357
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CLOWN MOTEL FOUNDATION
Organization’s Mailing Address 521 N MAIN ST
City TONOPAH
State NV
ZIP 89049
Accounting period End 12
Primary contact name VIJAY MEHAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VIJAY MEHAR
MEMBER
3020 LIBERTY CIR N
LAS VEGAS NV 89121

Officer/Director/Trustee Two

FRANK COGLER
MEMBER
3020 LIBERTY CIR N
LAS VEGAS NV 89121

Officer/Director/Trustee Three

HEM ANAND
MEMBER
521 N MAIN ST
TONOPAH NV 89049

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2021
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A50 - Museum, Museum Activities
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 VIJAY MEHAR
Signature Title MEMBER
Signature Date 3/31/2021

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