FORM 1023-EZ for CONSCIOUS CAPITALISM SAN DIEGO

Field Data
EIN 47-1869847
Case Number EO-2015170-000257
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CONSCIOUS CAPITALISM SAN DIEGO
Organization’s Mailing Address 5452 CAMINITO HERMINIA
City LA JOLLA
State CA
ZIP 92037
Accounting period End 12
Primary contact name MALCOLM AVNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MALCOLM AVNER
CHAIRMAN
5452 CAMINITO HERMINIA
LA JOLLA CA 92037

Officer/Director/Trustee Two

MICHAEL ANDERSON
PRESIDENT
687 SOUTH COAST HIGHWAY 101 NO 302
ENCINITAS CA 92024

Officer/Director/Trustee Three

KORI JONESON
SECRETARY
2310 VIA FRANCISCO UNIT M
CARLSBAD CA 92008

Officer/Director/Trustee Four

DEBRA KING
TREASURER
11936-1 TIVOLI PARK ROW
SAN DIEGO CA 92128

Officer/Director/Trustee Five

SARAH EMERSON
DIRECTOR
4522 TRIAS ST
SAN DIEGO CA 92103

Organization’s website WWW.CONSCIOUSCAPITALISMSD.ORG
Organization’s email INFO@CONSCIOUSCAPITALISMSD.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W03 - Professional Societies, Associations
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 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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