FORM 1023-EZ for URBAN CITY KIDS

Field Data
EIN 81-0741839
Case Number EO-2016062-000166
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name URBAN CITY KIDS
Organization’s Mailing Address 4507 PIPER WAY
City ANTIOCH
State CA
ZIP 94531
Accounting period End 12
Primary contact name LAQUISHA CONERLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TONETTE STEWART
TREASURER
7317 SEPULVEDA BLVD APT 206
VAN NUYS CA 91405

Officer/Director/Trustee Two

LISA LOWE
SECRETARY
4505 BUCKEYE CT
ANTIOCH CA 94531

Officer/Director/Trustee Three

TERRY ROBINSON
OFFICER
371 SO 38TH STREET
RICHMOND CA 94804

Officer/Director/Trustee Four

LAQUISHA CONERLY
CEO
4507 PIPER WAY
ANTIOCH CA 94531

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B92 - Remedial Reading, Reading Encouragement
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 Yes
Donation of funds Yes
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 Yes
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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