FORM 1023-EZ for COMMUNITY INTEGRATION SERVICES INC

Field Data
EIN 84-2641727
Case Number EO-2019225-000222
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY INTEGRATION SERVICES INC
Organization’s Mailing Address 16249 MAGNOLIA CREEK LANE
City MONTVERDE
State FL
ZIP 34756
Accounting period End 12
Primary contact name KILEY TURMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANITA KILLEN
DIRECTOR
2525 WALNUT HEIGHTS ROAD
APOPKA FL 32703

Officer/Director/Trustee Two

CLINTON KANDLE
DIRECTOR
PO BOX 195631
WINTER SPRINGS FL 32719

Officer/Director/Trustee Three

RICK VINCENT
DIRECTOR
16831 BAY AVENUE
MONTVERDE FL 34756

Officer/Director/Trustee Four

WARD LIEBI
DIRECTOR
632 MEADOW PARK DRIVE
MINNEOLA FL 34715

Officer/Director/Trustee Five

KILEY TURMAN
SECRETARY
16249 MAGNOLIA CREEK LANE
MONTVERDE FL 34756

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KILEY TURMAN
Signature Title SECRETARY
Signature Date 8/9/19

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