FORM 1023-EZ for DIVINE INTELLECT INC

Field Data
EIN 86-1722069
Case Number EO-2021081-001095
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DIVINE INTELLECT INC
Organization’s Mailing Address 5100 W BRADFORD WOODS CIR APT O
City PEORIA
State IL
ZIP 61615-8978
Accounting period End 12
Primary contact name TAHARI ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAHARI ALLEN
PRESIDENT AND DIRECTOR
5100 W BRADFORDWOODS CIR O
PEORIA IL 61615-8978

Officer/Director/Trustee Two

DERRICK BOOTH
DIRECTOR
2614 N WILSON DR
PEORIA IL 61604-2467

Officer/Director/Trustee Three

JADE HURSEY
DIRECTOR
2297 CORRIGAN WAY
NORMAL IL 61761-9627

Officer/Director/Trustee Four

GREGORY WILSON
SECRETARY AND DIRECTOR
1206 N FLORA AVE
PEORIA IL 61606-1420

Officer/Director/Trustee Five

ZINOBIA CAVIN
DIRECTOR
717 W ORLANDO AVE APT B
NORMAL IL 61761-6052

Organization’s website
Organization’s email divineintellect4u@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/26/2021
Organization Incorporation State IL
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: Yes
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 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 TAHARI ALLEN
Signature Title PRESIDENT AND DIRECTOR
Signature Date 1/27/2021

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