FORM 1023-EZ for CISG MEDIA INC

Field Data
EIN 87-2168626
Case Number EO-2021228-000681
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CISG MEDIA INC
Organization’s Mailing Address PO BOX 808
City BLUE RIDGE
State VA
ZIP 24064
Accounting period End 12
Primary contact name SCOTT DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT DAVIS
DIRECTOR
PO BOX 808
BLUE RIDGE VA 24064

Organization’s website WWW.CISGMEDIA.US
Organization’s email INFO@CISGMEDIA.US
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A30 - Media, Communications Organizations
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 Yes
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 Yes
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 SCOTT DAVIS
Signature Title DIRECTOR
Signature Date 8/14/2021

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