FORM 1023-EZ for INCLUSIVITY INC

Field Data
EIN 86-1489206
Case Number EO-2021221-000574
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INCLUSIVITY INC
Organization’s Mailing Address 6709 OSBORNE HILL DR
City UPPER MARLBORO
State MD
ZIP 20772
Accounting period End 12
Primary contact name SHELBY HICKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHELBY HICKS
PRESIDENT&DIRECTOR&CO-FO
6709 OSBORNE HILL DR
UPPER MARLBORO MD 20772

Officer/Director/Trustee Two

KATELYN SIMMONS
SECRETARY&DIRECTOR&CO-FO
6229 PEBBLE BEACH DR
VALLEJO CA 94591

Officer/Director/Trustee Three

SAUNADRA HICKS
TREASURER & DIRECTOR
6709 OSBORNE HILL DR
UPPER MARLBORO MD 20772

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 SHELBY HICKS
Signature Title PRESIDENT&DIRECTOR&CO-FO
Signature Date 8/6/2021

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