FORM 1023-EZ for CIPIVIE

Field Data
EIN 46-2495611
Case Number EO-2017075-000500
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CIPIVIE
Organization’s Mailing Address 3633 ANNANDALE DRIVE
City CHARLOTTE
State NC
ZIP 28269
Accounting period End 12
Primary contact name MR MABANDI ADELBERT LIMBANGI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LIMBANGI MABANDI
DIRECTOR
3633 ANNANDALE
CHARLOTTE NC 28269-0150

Officer/Director/Trustee Two

MAFUKWA MABANDI
ASSISTANT MANAGER
3633 ANNANDALE DRIVE
CHARLOTTE NC 28269-0150

Officer/Director/Trustee Three

WYATT MURDOCK
MANAGER
3633 ANNANDALE DRIVE
CHARLOTTE NC 28269-0150

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/23/2013
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other 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 No
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 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
Signature Title
Signature Date

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