FORM 1023-EZ for CREATIVE LIFE SKILLS DEVELOPMENT INITIATIVE
| Field | Data |
|---|---|
| EIN | 83-1422571 |
| Case Number | EO-2018218-000427 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CREATIVE LIFE SKILLS DEVELOPMENT INITIATIVE |
| Organization’s Mailing Address | 2022 DOUBLE TOP RD |
| City | JAMESTOWN |
| State | TN |
| ZIP | 38556 |
| Accounting period End | 12 |
| Primary contact name | SHEREE NIKSTAITIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SHEREE NIKSTAITIS
BOARD MEMBER PRESIDENT TREASURER
2022 DOUBLE TOP RD
JAMESTOWN TN 38556
Officer/Director/Trustee Two
GLENNA HARDY
BOARD MEMBER
2022 DOUBLE TOP RD
JAMESTOWN TN 38556
Officer/Director/Trustee Three
JOHN COOK
BOARD MEMBER SECRETARY
120 INDUSTRIAL DR
BYRDSTOWN TN 38549
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/1/18 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O50 - Youth Development Programs, Other |
| 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 | SHEREE NIKSTAITIS |
| Signature Title | BOARD MEMBER PRESIDENT TREASURER |
| Signature Date | 8/2/18 |
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