FORM 1023-EZ for CIC NORTH AMERICA INC

Field Data
EIN 85-3916751
Case Number EO-2021161-000182
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CIC NORTH AMERICA INC
Organization’s Mailing Address 12803 STONECREST DRIVE
City SILVER SPRING
State MD
ZIP 20904
Accounting period End 12
Primary contact name NIGEL SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NIGEL SMITH
PRESIDENT & DIRECTOR
12803 STONECREST DRIVE
SILVER SPRING MD 20904

Officer/Director/Trustee Two

BARRY LEE-SOY
TREASURER & DIRECTOR
21062 ETHAN COURT
STERLING VA 20164

Officer/Director/Trustee Three

GREGORY BRATHWAITE
SECRETARY & DIRECTOR
5050L POST CORNERS TRAIL
CENTREVILLE VA 20120

Officer/Director/Trustee Four

LENNOX WHARTON-LAKE
DIRECTOR
704 AMELIA ISLAND COURT
ASHTON MD 20861

Officer/Director/Trustee Five

AKIL GEORGE
DIRECTOR
240A PALISADE AVENUE
JERSEY CITY NJ 07306

Organization’s website
Organization’s email CICPSUNA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/11/2020
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NIGEL SMITH
Signature Title PRESIDENT & DIRECTOR
Signature Date 6/8/2021

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