FORM 1023-EZ for EDUCATE TO REINTEGRATE

Field Data
EIN 83-2530979
Case Number EO-2019133-000491
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EDUCATE TO REINTEGRATE
Organization’s Mailing Address 1712 PIONEER AVE STE 571
City CHEYENNE
State WY
ZIP 82001
Accounting period End 12
Primary contact name SHARON OTEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTON JOHNSON
PRESIDENT, DIRECTOR
2638 PASEO DR
RANCHO CORDOVA CA 95670

Officer/Director/Trustee Two

DARRICK BOOKER
SECRETARY, DIRECTOR
PO BOX 4024
CLOVIS CA 93613

Officer/Director/Trustee Three

SHARON OTEY
TREASURER, DIRECTOR
7706 BACKER RD
SAN DIEGO CA 92126

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/18
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
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 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 SHARON OTEY
Signature Title TREASURER, DIRECTOR
Signature Date 5/10/19

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