FORM 1023-EZ for CREATIVE POTENTIAL INSTITUTE INC

Field Data
EIN 84-2545971
Case Number EO-2019224-000558
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CREATIVE POTENTIAL INSTITUTE INC
Organization’s Mailing Address 4334 AUGUSTINE AVENUE
City SARASOTA
State FL
ZIP 34231
Accounting period End 12
Primary contact name SHANDRA STRINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTA OCKULY PHD
PRESIDENT AND CEO
4334 AUGUSTINE AVENUE
SARASOTA FL 34231

Officer/Director/Trustee Two

GRACEANNE ALFIERO
DIRECTOR
5044 KRATZ CARRIAGE ROAD
PIPERSVILLE PA 18947

Officer/Director/Trustee Three

ROSEMARY NULTY
DIRECTOR
4334 AUGUSTINE AVENUE
SARASOTA FL 34231

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARTA OCKULY PHD
Signature Title PRESIDENT AND CEO
Signature Date 8/9/19

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