FORM 1023-EZ for CROSS POLLINATE INC

Field Data
EIN 82-4003454
Case Number EO-2018057-000412
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CROSS POLLINATE INC
Organization’s Mailing Address 7303 WOOD ROCK RD
City LOUISVILLE
State KY
ZIP 40291
Accounting period End 3
Primary contact name JABRIL GOODNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SYDNI GORDON
EVENTS COORDINATOR
1111 TINDALL LANE
LOUISVILLE KY 40291

Officer/Director/Trustee Two

DESTINY ENNIS
SECRTARY
141 EAST 42ND ST
COVINGTON KY 41015

Officer/Director/Trustee Three

JABRIL GOODNER
CEO
7303 WOOD ROCK RD
LOUISVILLE KY 40291

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/18
Organization Incorporation State KY
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: Yes
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 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 JABRIL GOODNER
Signature Title CEO
Signature Date 2/23/18

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