FORM 1023-EZ for CENTER FOR ADVANCED LEADERSHIP ANDCONFLICT RESOLUTION

Field Data
EIN 86-1180892
Case Number EO-2021064-000439
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTER FOR ADVANCED LEADERSHIP ANDCONFLICT RESOLUTION
Organization’s Mailing Address 8147 LAGOS DE CAMPO BLVD
City TAMARAC
State FL
ZIP 33321
Accounting period End 6
Primary contact name ADRIAN N CARTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER FELTON
VICE PRESIDENT
1001 GARDEN VIEW DR 602
ATLANTA GA 30319

Officer/Director/Trustee Two

RICKY LEBRUN
BOARD MEMBER
770 NW 186TH DRIVE
MIAMI FL 33169

Officer/Director/Trustee Three

RADAR JONES
BOARD MEMBER
2460 NW 49TH TERRACE
COCONUT CREEK FL 33063

Officer/Director/Trustee Four

CLIVE WHITE
BOARD MEMBER
3491 BRYCEWOOD DR
DECATUR GA 30034

Officer/Director/Trustee Five

ADRIAN CARTER
DIRECTOR
8147 LAGOS DE CAMPO BLVD
TAMARAC FL 33321

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2021
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I51 - Dispute Resolution, Mediation Services
Organization’s purpose Charitable: No
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 No
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 ADRIAN CARTER
Signature Title DIRECTOR
Signature Date 1/4/2021

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