FORM 1023-EZ for CREATOR OF CREATIONS UBL

Field Data
EIN 86-2765369
Case Number EO-2021099-001814
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CREATOR OF CREATIONS UBL
Organization’s Mailing Address 1504 ALVISO AVE
City INGLEWOOD
State CA
ZIP 90302
Accounting period End 12
Primary contact name SULLIVAN SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SULLIVAN SCOTT
CEO
1504 ALVISO AVE
INGLEWOOD CA 90302

Officer/Director/Trustee Two

TERRIE JACKSON
SEC
1675 E 126TH ST
COMPTON CA 90222

Officer/Director/Trustee Three

ROSALIND SCOTT
CFO
901 E FAIRVIEW BLVD
INGLEWOOD CA 90302

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F30 - Mental Health Treatment - Multipurpose and N.E.C.
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 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 SULLIVAN SCOTT
Signature Title CEO
Signature Date 3/22/2021

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