FORM 1023-EZ for CIA FOUNDATION

Field Data
EIN 82-4842650
Case Number EO-2020021-000437
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CIA FOUNDATION
Organization’s Mailing Address 14622 VENTURA BLVD STE 777
City SHERMAN OAKS
State CA
ZIP 91403-3600
Accounting period End 12
Primary contact name SETH ZIELICKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SETH ZIELICKE
PRESIDENT
14622 VENTURA BLVD STE 777
SHERMAN OAKS CA 91403-3600

Officer/Director/Trustee Two

ISAAC AGYEMAN
SECRETARY
14622 VENTURA BLVD STE 777
SHERMAN OAKS CA 91403-3600

Officer/Director/Trustee Three

TERRY QUINN
TREASURER
14622 VENTURA BLVD STE 777
SHERMAN OAKS CA 91403-3600

Organization’s website
Organization’s email SETH.ZIELICKE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/2018
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: Yes
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 Yes
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 SETH ZIELICKE
Signature Title PRESIDENT
Signature Date 1/16/2020

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