FORM 1023-EZ for THE COLLECTIVE IDENTITY MENTORING

Field Data
EIN 84-3355243
Case Number EO-2020283-000256
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE COLLECTIVE IDENTITY MENTORING
Organization’s Mailing Address 833 N KINGSLEY DR APT 2
City LOS ANGELES
State CA
ZIP 90029
Accounting period End 12
Primary contact name NICOLE GILLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE GILLEY
PRESIDENT
833 N KINGSLEY DR APT 2
LOS ANGELES CA 90029

Officer/Director/Trustee Two

JASMINE BASS
VICE-CHAIR
833 N KINGSLEY DR APT 2
LOS ANGELES CA 90029

Officer/Director/Trustee Three

ABYAH WYNN
TREASURER
833 N KINGSLEY DR APT 2
LOS ANGELES CA 90029

Officer/Director/Trustee Four

NYESHA ARRINGTON
EXECUTIVE DIRECTOR
833 N KINGSLEY DR APT 2
LOS ANGELES CA 90029

Officer/Director/Trustee Five

SIENNA JACKSON
SECRETARY
833 N KINGSLEY DR APT 2
LOS ANGELES CA 90029

Organization’s website HTTP://WWW.THECOLLECTIVEIDENTITY.ORG
Organization’s email NICOLE@TCIMENTORING.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 No
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 NICOLE GILLEY
Signature Title PRESIDENT
Signature Date 10/7/2020

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