FORM 1023-EZ for I3 INSPIRE INFORM INVOLVE

Field Data
EIN 83-2297529
Case Number EO-2018298-000308
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I3 INSPIRE INFORM INVOLVE
Organization’s Mailing Address 11230 GOLD EXPRESS DRIVE SUITE 310
City GOLD RIVER
State CA
ZIP 95670
Accounting period End 12
Primary contact name STEPHAN BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY DIETRICH
PRESIDENT
11230 GOLD EXPRESS DRIVE SUITE 310
GOLD RIVER CA 95670

Officer/Director/Trustee Two

PETER HENDERSON
CHIEF FINANCIAL OFFICER
11230 GOLD EXPRESS DRIVE SUITE 310
GOLD RIVER CA 95670

Officer/Director/Trustee Three

PAUL ROBINS
SECRETARY
11230 GOLD EXPRESS DRIVE SUITE 310
GOLD RIVER CA 95670

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/22/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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 Yes
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 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 GARY DIETRICH
Signature Title PRESIDENT
Signature Date 10/23/18

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