FORM 1023-EZ for INDIGENOUS COMMUNITY SOLUTIONS

Field Data
EIN 84-2518882
Case Number EO-2021104-000657
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INDIGENOUS COMMUNITY SOLUTIONS
Organization’s Mailing Address 410 STABLEFORD COURT
City ATHENS
State GA
ZIP 30607
Accounting period End 12
Primary contact name JENNINE LABUZAN-DELANE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNINE LABUZAN-DELANE
DIRECTOR
410 STABLEFORD COURT
ATHENS GA 30607

Officer/Director/Trustee Two

ELAINA PORTER
PRESIDENT
1068 MCCANNIN MORRIS ROAD
HULL GA 30646

Officer/Director/Trustee Three

HAYYAH DELANE
SECRETARY
410 STABLEFORD COURT
ATHENS GA 30607

Officer/Director/Trustee Four

RASHAD MUNEER
TREASURER
2555 FLAT SHOALS ROAD
ATLANTA GA 30349

Organization’s website icsol.org
Organization’s email info@icsol.org
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JENNINE LABUZAN-DELANE
Signature Title DIRECTOR
Signature Date 4/11/2021

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