FORM 1023-EZ for CANNABIS CULTURAL ASSOCIATION INC

Field Data
EIN 81-5076291
Case Number EO-2017083-000241
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CANNABIS CULTURAL ASSOCIATION INC
Organization’s Mailing Address 260 RIVERSIDE DR APT 2F
City NEW YORK
State NY
ZIP 10025
Accounting period End 12
Primary contact name KRISTIN JORDAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH FELTON
BOARD
2 PARK SQUARE APT 2201
RAHWAY NJ 07065

Officer/Director/Trustee Two

BERNARD LEE
BOARD
45 SPRAIN VALLEY RD
SCARSDALE NY 10583

Officer/Director/Trustee Three

ZACHARY TYSON
BOARD
342 ELDER STREET APT 106
BROOKLYN NY 11237

Officer/Director/Trustee Four

NELSON GUERRERO
DEPUTY DIRECTOR
213 RT 100
KATONAH NY 10536

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - Alliance/Advocacy Organizations
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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