FORM 1023-EZ for FEARFULLY AND WONDERFULLY CREATED

Field Data
EIN 86-1410402
Case Number EO-2021085-001214
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FEARFULLY AND WONDERFULLY CREATED
Organization’s Mailing Address 25258 MORNING DOVE WAY
City MORENO VALLEY
State CA
ZIP 92551
Accounting period End 12
Primary contact name OPHELIA LINDLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OPHELIA LINDLEY
CEO
25258 MORNING DOVE WAY
MORENO VALLEY CA 92551

Officer/Director/Trustee Two

GENO RANDLE
SECRETARY
21389 DICKSON ROAD
MORENO VALLEY CA 92557

Officer/Director/Trustee Three

KIMBERLY GRAHAM
CFO
12150 PIGEON PASS ROAD
MORENO VALLEY CA 92557

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R20 - Civil Rights, Advocacy for Specific Groups
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 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 OPHELIA LINDLEY
Signature Title CEO
Signature Date 2/6/2021

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