FORM 1023-EZ for THE CENTER FOR INTEGRATION INC

Field Data
EIN 83-2830046
Case Number EO-2019084-000513
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CENTER FOR INTEGRATION INC
Organization’s Mailing Address 9100 FAIR OAKS BLVD STE B
City FAIR OAKS
State CA
ZIP 95628
Accounting period End 12
Primary contact name JENNIFER AUBREY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER AUBREY
CHIEF EXECUTIVE OFFICER, DIRECTOR
9100 FAIR OAKS BLVD STE B
FAIR OAKS CA 95628

Officer/Director/Trustee Two

JACQULINE RAIKEVITCH-HAGGART
CFO
9100 FAIR OAKS BLVD STE B
FAIR OAKS CA 95628

Officer/Director/Trustee Three

FATIMA MARIN
OFFICER
9100 FAIR OAKS BLVD STE B
FAIR OAKS CA 95628

Officer/Director/Trustee Four

ALANA CURTIS
CHAIRPERSON
9100 FAIR OAKS BLVD STE B
FAIR OAKS CA 95628

Officer/Director/Trustee Five

UGO OBASI
SECRETARY
9100 FAIR OAKS BLVD STE B
FAIR OAKS CA 95628

Organization’s website
Organization’s email JENNIFERAUBREYLMFT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
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 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 JENNIFER AUBREY
Signature Title CHIEF EXECUTIVE OFFICER, DIRECTOR
Signature Date 3/22/19

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