FORM 1023-EZ for EXCELIBRATE INC

Field Data
EIN 85-3929497
Case Number EO-2021049-000089
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EXCELIBRATE INC
Organization’s Mailing Address 1544 NORTH 63RD TERRACE
City KANSAS CITY
State KS
ZIP 66102
Accounting period End 12
Primary contact name FRANCESCA WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANCESCA WILLIAMS
PRESIDENT
1544 N 63RD TER
KANSAS CITY KS 66102

Organization’s website WWW.EXCELIBRATE.ORG
Organization’s email EXCELIBRATE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2020
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A30 - Media, Communications Organizations
Organization’s purpose Charitable: Yes
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 Yes
Donation of funds Yes
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) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name FRANCESCA WILLIAMS
Signature Title PRESIDENT
Signature Date 12/10/2020

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