FORM 1023-EZ for CALIFORNIA INDIGENOUS CULTURAL SUSTAINABILITY ALLIANCE

Field Data
EIN 86-2200193
Case Number EO-2021093-000473
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CALIFORNIA INDIGENOUS CULTURAL SUSTAINABILITY ALLIANCE
Organization’s Mailing Address 1458 SANBORN AVE
City SAN JOSE
State CA
ZIP 95110
Accounting period End 12
Primary contact name AMELIA LIPSCOMB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMELIA LIPSCOMB
TREASURER
440 W EDMUNDSON AVE
MORGAN HILL CA 95037

Officer/Director/Trustee Two

DEBORAH MORILLO
PRESIDENT
1458 SANBORN AVE
SAN JOSE CA 95110

Officer/Director/Trustee Three

QUIRINA GEARY
VICE PRESIDENT
PO BOX 1506
CLEARLAKE OAKS CA 95423

Officer/Director/Trustee Four

SARAH BISCARRA DILLEY
SECRETARY
1458 SANBORN AVE
SAN JOSE CA 95110

Organization’s website N/A
Organization’s email CICSAORG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: No
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 AMELIA LIPSCOMB
Signature Title TREASURER
Signature Date 3/1/2021

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