FORM 1023-EZ for FOUR LEAF CLOVER PROGRAM
| Field | Data |
|---|---|
| EIN | 35-2587935 |
| Case Number | EO-2020076-000350 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | FOUR LEAF CLOVER PROGRAM |
| Organization’s Mailing Address | 317 WEST WOODALL STREET |
| City | BENSON |
| State | NC |
| ZIP | 27504 |
| Accounting period End | 12 |
| Primary contact name | CLEO MCKINNON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CLEO MCKINNON
PRESIDENT
317 WEST WOODALL STREET
BENSON NC 27504
Officer/Director/Trustee Two
BEVERLY COGGESHALL
VICE-PRESIDENT
340 MASSENGILL FARM ROAD
BENSON NC 27504
Officer/Director/Trustee Three
TERESA WILLIAMS
SECRETARY
908 EAST MAIN STREET
BENSON NC 27504
Officer/Director/Trustee Four
VALERIE PADOADA-ERAZO
TREASURER
314 WEST WOODALL STREET
BENSON NC 27504
| Organization’s website | N/A |
|---|---|
| Organization’s email | MCKINNONCLEO@YAHOO.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/24/2019 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | K30 - Food Service, Free Food Distribution Programs |
| 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 | CLEO MCKINNON |
| Signature Title | PRESIDENT |
| Signature Date | 3/13/2020 |
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