FORM 1023-EZ for CIVIQ INCORPORATED

Field Data
EIN 82-2615587
Case Number EO-2017242-000450
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CIVIQ INCORPORATED
Organization’s Mailing Address 24500 SE 45TH WAY
City ISSAQUAH
State WA
ZIP 98029
Accounting period End 7
Primary contact name ISABEL M LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VIVEK NATARAJAN
PRESIDENT
24012 SE 10 CT
SAMMAMISH WA 98075

Officer/Director/Trustee Two

KEYA ROY
SECRETARY
5105 164TH AVE SE
BELLEVUE WA 98006

Officer/Director/Trustee Three

ISABEL LEWIS
VICE PRESIDENT
24500 SE 45TH WAY
ISSAQUAH WA 98029

Officer/Director/Trustee Four

ISABEL LEWIS
TREASURER
24500 SE 45TH WAY
ISSAQUAH WA 98029

Organization’s website
Organization’s email GENINQ@CIVIQAPP.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/2017
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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