FORM 1023-EZ for SELF-I-ZATION

Field Data
EIN 84-4206652
Case Number EO-2020104-000337
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SELF-I-ZATION
Organization’s Mailing Address 37710 SMOKE TREE ST
City PALMDALE
State CA
ZIP 93552
Accounting period End 12
Primary contact name HARVEY TERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HARVEY TERRY
DIRECTOR
37710 SMOKE TREE ST
PALMDALE CA 93552

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HARVEY TERRY
Signature Title DIRECTOR
Signature Date 4/10/2020

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