FORM 1023-EZ for CLAY FAMILY POLICY ALLIANCE

Field Data
EIN 85-0867337
Case Number EO-2020132-000485
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLAY FAMILY POLICY ALLIANCE
Organization’s Mailing Address 3691 WINGED FOOT CIRCLE
City GREEN COVE SPRINGS
State FL
ZIP 32043
Accounting period End 12
Primary contact name MARY LIB STEVENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BENNETT BROWN
DIRECTOR
3007 FOREST CIRCLE
JACKSONVILLE FL 32257

Officer/Director/Trustee Two

SYLVIA CROFT
DIRECTOR
5006 COUNTY ROAD 214
KEYSTONE HEIGHTS FL 32656

Officer/Director/Trustee Three

ALAN STEVENSON
DIRECTOR
3691 WINGED FOOT CIRCLE
GREEN COVE SPRINGS FL 32043

Officer/Director/Trustee Four

MARY LIB STEVENSON
DIRECTOR
3691 WINGED FOOT CIRCLE
GREEN COVE SPRINGS FL 32043

Officer/Director/Trustee Five

CORA WEST
DIRECTOR
727 OCRACOKE
VERO FL 32698

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R40 - Voter Education, Registration
Organization’s purpose Charitable: No
Religious: No
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 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 MARY LIB STEVENSON
Signature Title DIRECTOR
Signature Date 5/8/2020

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