FORM 1023-EZ for IXII FOUNDATION INC

Field Data
EIN 82-0610077
Case Number EO-2017079-000128
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name IXII FOUNDATION INC
Organization’s Mailing Address 910 PLEASANT GROVE BLVD STE 120-349
City ROSEVILLE
State CA
ZIP 95678
Accounting period End 12
Primary contact name KIMBERLY TURNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY TURNER
PRESIDENT
910 PLEASANT GROVE BLVD STE 120-349
ROSEVILLE CA 95678

Officer/Director/Trustee Two

JAMIE HUDSON
TREASURER
910 PLEASANT GROVE BLVD STE 120-349
ROSEVILLE CA 95678

Officer/Director/Trustee Three

THERESA SUGGETT
SECRETARY
910 PLEASANT GROVE BLVD STE 120-349
ROSEVILLE CA 95678

Organization’s website WWW.IXIIFOUNDATION,COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/27/2017
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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 Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity Yes
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts Yes
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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