FORM 1023-EZ for THE IKIGAI PROJECT

Field Data
EIN 82-3449981
Case Number EO-2017324-000271
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE IKIGAI PROJECT
Organization’s Mailing Address 800 BUCKHORN SPRINGS RD
City ASHLAND
State OR
ZIP 97520
Accounting period End 11
Primary contact name NICOLE KLAU IBARRA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENDAN CLARKE
CBDO
12630 BLOOMFIELD AVENUE APT 9
NORWALK CA 90650

Officer/Director/Trustee Two

BRANDON BURTON
CTO
4308 WOLF RUN DR
MEDFORD OR 97502

Officer/Director/Trustee Three

NICOLE KLAU IBARRA
CEO
800 BUCKHORN SPRINGS RD
ASHLAND OR 97520

Officer/Director/Trustee Four

GARRET YOUNG
CSO
805 GLENDALE AVE
ASHLAND OR 97520

Organization’s website
Organization’s email STAFF@CIRCUITYOUTH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U41 - Computer Science
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 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
Signature Title
Signature Date

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