FORM 1023-EZ for INDEPENDENT CALIFORNIA INSTITUTE

Field Data
EIN 83-1377726
Case Number EO-2019235-000361
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INDEPENDENT CALIFORNIA INSTITUTE
Organization’s Mailing Address 7040 AVENIDA ENCINAS STE 104 / 103
City CARLSBAD
State CA
ZIP 92011
Accounting period End 6
Primary contact name NEIL LONGHURST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID MARIN
EXECUTIVE DIRECTOR
25 TURQUOISE WAY
SAN FRANCISCO CA 94131

Officer/Director/Trustee Two

NEIL LONGHURST
SECRETARY-TREASURER
916 MYRTLE CT
CARLSBAD CA 92011

Officer/Director/Trustee Three

TIMOTHY VOLLMER
CHAIRPERSON OF BOARD
555 BUENA VISTA WAY APT 104
SAN FRANCISCO CA 94117

Officer/Director/Trustee Four

SHANKAR SINGAM
DIRECTOR
157 N BLUEGRASS ST
BREA CA 92821

Officer/Director/Trustee Five

JOYCE TOMPSETT
VICE-CHAIRPERSON
1916 BANKSTON DRIVE
TRACY CA 95304

Organization’s website INDEPENDENTCA.ORG
Organization’s email INFO@INDEPENDENTCA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: No
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 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 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 NEIL LONGHURST
Signature Title SECRETARY-TREASURER
Signature Date 8/21/19

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