FORM 1023-EZ for I-BELONG INC

Field Data
EIN 81-1957621
Case Number EO-2016165-000466
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name I-BELONG INC
Organization’s Mailing Address 11615 EVERGOLD STREET
City SAN DIEGO
State CA
ZIP 92131
Accounting period End 12
Primary contact name FRANCES AYALASOMAYAJULA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FRANCES AYALASOMAYAJULA
PRESIDENT AND DIRECTOR
11615 EVERGOLD ST
SAN DIEGO CA 92131

Officer/Director/Trustee Two

LISA ANGUIANO
TREASURER
3914 MURPHY CANYON ROAD SUITE A130
SAN DIEGO CA 92123

Officer/Director/Trustee Three

SHIVA AYALASOMAYAJULA
SECRETARY
11615 EVERGOLD STREET
SAN DIEGO CA 92131

Officer/Director/Trustee Four

LORI PRITCHARD
DIRECTOR
11074 CAMINO PLAYA CARMEL
SAN DIEGO CA 92124

Officer/Director/Trustee Five

PAMELA LEE
DIRECTOR
7740 APPLEWOOD WAY
PLEASANTON CA 94588

Organization’s website WWW.IBHEALTHY.ORG
Organization’s email FRAN@IBHEALTHY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other 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 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 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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