FORM 1023-EZ for INTEGRAL LEADERSHIP IN ACTION

Field Data
EIN 26-4616218
Case Number EO-2014275-000490
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INTEGRAL LEADERSHIP IN ACTION
Organization’s Mailing Address 3982 ARBOL CT
City BOULDER
State CO
ZIP 80301
Accounting period End 3
Primary contact name MS KIM HARPHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TERRY POLING
DIRECTOR, PRESIDENT
3982 ARBOL CT
BOULDER CO 80301

Officer/Director/Trustee Two

KIM HARPHAM
DIRECTOR, TREASURER, VICE PRESIDENT
3982 ARBOL CT
BOULDER CO 80301

Officer/Director/Trustee Three

MICHAEL MCELHENIE
DIRECTOR, SECRETARY, VICE PRESIDENT
3982 ARBOL CT
BOULDER CA 80301

Organization’s website WWW.INTERGRALLEADERSHIPINACTION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2010
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 No
Compensation of Officer director trustee No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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