FORM 1023-EZ for THE CLAIRE PARKER FOUNDATION INC

Field Data
EIN 47-2434088
Case Number EO-2014340-000162
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CLAIRE PARKER FOUNDATION INC
Organization’s Mailing Address PO BOX 523
City ALTAVISTA
State VA
ZIP 24517
Accounting period End 12
Primary contact name MICHAEL MAYHEW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JORDAN PARKER
PRESIDENT
102 PROSPECT ROAD
HURT VA 24563

Officer/Director/Trustee Two

CONNIE PARKER
VICE-PRESIDENT
102 PROSPECT ROAD
HURT VA 24563

Officer/Director/Trustee Three

RENEA MILAM
SECRETARY
300 PAISLEY ROAD
GRETNA VA 24557

Officer/Director/Trustee Four

DONNA KING
TREASURER
340 PLANTATION ROAD
AMHERST VA 24521

Officer/Director/Trustee Five

MICHAEL MAYHEW
DIRECTOR
776 MAIN STREET
DANVILLE VA 24540

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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
Signature Title
Signature Date

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