FORM 1023-EZ for DISTRICT CIVIC LABS

Field Data
EIN 81-5340625
Case Number EO-2017067-000758
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DISTRICT CIVIC LABS
Organization’s Mailing Address 3066 PORTER STREET NW
City WASHINGTON
State DC
ZIP 20008-3269
Accounting period End 12
Primary contact name STEVEN REILLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN REILLY
DIRECTOR
3066 PORTER STREET NW
WASHINGTON DC 20008-3269

Officer/Director/Trustee Two

MATTHEW BAILEY
DIRECTOR
1108 JEFFERSON STREET NW
WASHINGTON DC 20011-3606

Officer/Director/Trustee Three

JUSTIN GRIMES
DIRECTOR
77 H STREET NW APT 235
WASHINGTON DC 20001-2346

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/18/2017
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W24 - Citizen Participation
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 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
Signature Title
Signature Date

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