FORM 1023-EZ for THE LEADER INSIDE INC

Field Data
EIN 81-4656311
Case Number EO-2017044-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE LEADER INSIDE INC
Organization’s Mailing Address 2260 SW 178TH AVENUE
City ALOHA
State OR
ZIP 97003
Accounting period End 12
Primary contact name ROBERT SEDERSTROM CPA - POA ON FILE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE RIOS
DIRECTOR
2260 SW 178TH AVENUE
ALOHA OR 97003

Officer/Director/Trustee Two

PHIL INCORVIA
DIRECTOR
2260 SW 178TH AVENUE
ALOHA OR 97003

Officer/Director/Trustee Three

DAN EISENMAN
DIRECTOR
2260 SW 178TH AVENUE
ALOHA OR 97003

Officer/Director/Trustee Four

RAYNA STINER
DIRECTOR
2260 SW 178TH AVENUE
ALOHA OR 97003

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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