FORM 1023-EZ for I2C LAB CORP
| Field | Data |
|---|---|
| EIN | 85-4364922 |
| Case Number | EO-2021089-001282 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | I2C LAB CORP |
| Organization’s Mailing Address | 3548 WINTHROP LN |
| City | FREDERICK |
| State | MD |
| ZIP | 21704 |
| Accounting period End | 12 |
| Primary contact name | KOFFI AMEFIA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KOFFI AMEFIA
CHIEF EXECUTIVE OFFICER
3548 WINTHROP LN
FREDERICK MD 21704
Officer/Director/Trustee Two
BRIAN KLINZING
BOARD MEMBER
4715 BASILONE LN
JEFFERSON MD 21755
Officer/Director/Trustee Three
ULREEN MCKINNEY
BOARD TREASURER
7135 PENA LANE
MELBOURNE FL 32940
Officer/Director/Trustee Four
BOUBACAR SID-BARRY
BOARD MEMBER
13818 LULLABY ROAD
GERMANTOWN MD 20874
Officer/Director/Trustee Five
SELI AGBOLOSU-AMISON
BOARD SECRETARY
8545 TRADE WIND CT
BRISTOW VA 20316
| Organization’s website | |
|---|---|
| Organization’s email | I2CLABMAIL@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/12/2020 |
| Organization Incorporation State | MD |
| 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: No Religious: No Educational: Yes Scientific: Yes 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 | Yes |
| 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 | KOFFI AMEFIA |
| Signature Title | CHIEF EXECUTIVE OFFICER |
| Signature Date | 2/13/2021 |
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