FORM 1023-EZ for CONCRE8TIVE COMMUNITY SOLUTIONS ANDDEVELOPMENT

Field Data
EIN 82-5396400
Case Number EO-2020276-000066
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONCRE8TIVE COMMUNITY SOLUTIONS ANDDEVELOPMENT
Organization’s Mailing Address 875 WEST POPLAR AVE STE 23 -225
City COLLIERVILLE
State TN
ZIP 38017-2598
Accounting period End 12
Primary contact name ANNETTEIA HANDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KYLE WATKINS
PROGRAM DIRECTOR
875 WEST POPLAR AVE STE 23 - 225
COLLIERVILLE TN 38017-2598

Officer/Director/Trustee Two

ANNETTEIA HANDY
MANAGING HR DIRECTOR
875 WEST POPLAR AVE STE 23 - 225
COLLIERVILLE TN 38017-2598

Organization’s website
Organization’s email CONCRE8TIVE.SOLUTIONS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/2018
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J99 - Employment, Job Related N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANNETTEIA HANDY
Signature Title MANAGING HR DIRECTOR
Signature Date 9/30/2020

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