FORM 1023-EZ for JCI CREATIVE

Field Data
EIN 47-4994445
Case Number EO-2015259-000321
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JCI CREATIVE
Organization’s Mailing Address 8917 SHELDON CREEK DR
City ELK GROVE
State CA
ZIP 95624
Accounting period End 12
Primary contact name NATALYA NEVEROV
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

IGOR ZAKHARCHENKO
CEO
8917 SHELDON CREEK DR
ELK GROVE CA 95624

Officer/Director/Trustee Two

OLEG TSVOR
SECRETARY
4928 HOLLY OKE WAY A
SACRAMENTO CA 95841

Officer/Director/Trustee Three

PAVEL GUTIEV
CFO
500 6TH ST SPT 30
W SACRAMENTO CA 95605

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 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 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
Signature Title
Signature Date

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