FORM 1023-EZ for C45 FOUNDATION INC

Field Data
EIN 86-1329038
Case Number EO-2021056-000460
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name C45 FOUNDATION INC
Organization’s Mailing Address 501 DOGWOOD LANE
City TIFFIN
State IA
ZIP 52340
Accounting period End 12
Primary contact name DARRY C MOORE OR SHAWNA K MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARRYL MOORE
DIRECTOR
501 DOGWOOD LANE
TIFFIN IA 52340

Officer/Director/Trustee Two

SHAWNA MOORE
DIRECTOR
501 DOGWOOD LANE
TIFFIN IA 52340

Organization’s website
Organization’s email D45MOORE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2021
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
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 DARRYL MOORE
Signature Title DIRECTOR
Signature Date 1/8/2021

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