FORM 1023-EZ for CALIFORNIA GLBT LEADERSHIP INSTITUTE

Field Data
EIN 47-3253423
Case Number EO-2015216-000201
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CALIFORNIA GLBT LEADERSHIP INSTITUTE
Organization’s Mailing Address 1127 11TH STREET SUITE 208
City SACRAMENTO
State CA
ZIP 95814-3809
Accounting period End 12
Primary contact name WENDY RAE HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GORDEN LAWRENCE FORESTER
PRESIDENT
1127 11TH STREET SUITE 208
SACRAMENTO CA 95814-3809

Officer/Director/Trustee Two

GREGORY PETIS
SECRETARY
1127 11TH STREET SUITE 208
SACRAMENTO CA 95814-3809

Organization’s website
Organization’s email GLBTLEADERSHIP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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