FORM 1023-EZ for INTENTIONED LEARNING CENTER

Field Data
EIN 81-3903650
Case Number EO-2020023-000447
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTENTIONED LEARNING CENTER
Organization’s Mailing Address 224 OAKLAND STREET
City RAPID CITY
State SD
ZIP 57701
Accounting period End 12
Primary contact name ANGELA RABER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JON PETERSEN
VICE PRESIDENT
224 OAKLAND ST
RAPID CITY SD 57701

Officer/Director/Trustee Two

ANGELA RABER
PRESIDENT
1275 STATE HWY 50
GILLETTE WY 82718

Officer/Director/Trustee Three

KAREN PETERSEN
SECRETARY
224 OAKLAND ST
RAPID CITY SD 57701

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2019
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 ANGELA RABER
Signature Title PRESIDENT
Signature Date 1/21/2020

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