FORM 1023-EZ for CARROLL INTERNATIONAL ACADEMY INC

Field Data
EIN 83-2051736
Case Number EO-2018296-000348
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARROLL INTERNATIONAL ACADEMY INC
Organization’s Mailing Address 552 STRAUSS DR
City NEWBURY PARK
State CA
ZIP 91320
Accounting period End 12
Primary contact name ASHLEY CARROLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASHLEY CARROLL
PRESIDENT
552 STRAUSS DR
NEWBURY PARK CA 91320

Officer/Director/Trustee Two

BRANDON OQUENDO
TREASURER
1845 EAST MEADOW DR
SALT LAKE CITY UT 84121

Officer/Director/Trustee Three

PHILLIP RANSAW
SECRETARY
14400 ADDISON ST 221
SHERMAN OAKS CA 91423

Organization’s website
Organization’s email DRAACARROLL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 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 ASHLEY CARROLL
Signature Title PRESIDENT
Signature Date 10/21/18

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