FORM 1023-EZ for AMERICAN CIVIC ENGAGEMENT INSTITUTE

Field Data
EIN 81-3825726
Case Number EO-2016270-000334
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMERICAN CIVIC ENGAGEMENT INSTITUTE
Organization’s Mailing Address 6437 HOLYOKE DR
City ANNANDALE
State VA
ZIP 22003
Accounting period End 12
Primary contact name RYAN YOUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN YOUNG
PRESIDENT
401 BOYD DR APT 5216
GRAPEVINE TX 76051

Officer/Director/Trustee Two

RYAN BOLYARD
CHIEF TECHNOLOGY OFFICER
6437 HOLYOKE DR
ANNANDALE VA 22003

Organization’s website WWW.AMERICANCEI.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
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
Signature Title
Signature Date

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