FORM 1023-EZ for INCLUSION REVOLUTION INC A CALIFORNIA NONPROFIT CORPORATION
| Field | Data |
|---|---|
| EIN | 81-0938138 |
| Case Number | EO-2016063-000199 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | INCLUSION REVOLUTION INC A CALIFORNIA NONPROFIT CORPORATION |
| Organization’s Mailing Address | 2770 WOOLSEY RD |
| City | WINDSOR |
| State | CA |
| ZIP | 95492 |
| Accounting period End | 12 |
| Primary contact name | STEVEN M OLSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
CINDY SCHALICH
CEO/DIR.
2770 WOOLSEY RD
WINDSOR CA 95492
Officer/Director/Trustee Two
JILL RICHARDSON
CFO/DIR.
3525 SLEEPY HOLLOW DR
SANTA ROSA CA 95404
Officer/Director/Trustee Three
COLLEEN ROULEAU
DIR./BD. CHAIR.
3829 SACRAMENTO AVE
SANTA ROSA CA 95405
Officer/Director/Trustee Four
JEANNIE KELLY
SECY./DIR.
2001 CRIMSON LANE
SANTA ROSA CA 95403
Officer/Director/Trustee Five
RYDER SCHALICH
VP/DIR.
2770 WOOLSEY RD
WINDSOR CA 95492
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/30/2015 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P82 - Developmentally Disabled Centers, Services |
| 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 | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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