FORM 1023-EZ for SIMPLI SERVICE INCORPORATED

Field Data
EIN 82-3568787
Case Number EO-2018254-000100
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SIMPLI SERVICE INCORPORATED
Organization’s Mailing Address 27715 E TRAIL RIDGE WAY APT 1087
City MORENO VALLEY
State CA
ZIP 92555
Accounting period End 12
Primary contact name JANECE DICKERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANECE DICKERSON
PRESIDENT
27715 E TRAIL RIDGE WAY APT 1087
MORENO VALLEY CA 92555

Officer/Director/Trustee Two

EDWARD PELOTE
TREASURER
11090 MESQUITE AVENUE
LOMA LINDA CA 92354

Officer/Director/Trustee Three

ALISHA PEELER
SECRETARY
27715 E TRAIL RIDGE WAY APT 1087
MORENO VALLEY CA 92555

Organization’s website WWW.SIMPLISERVICEINC.COM
Organization’s email SIMPLISERVICEINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/17
Organization Incorporation State CA
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: 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 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 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 JANECE DICKERSON
Signature Title PRESIDENT
Signature Date 9/9/18

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