FORM 1023-EZ for THE CENTER FOR INTENTIONAL INCLUSIVE COMMUNITY

Field Data
EIN 82-1766728
Case Number EO-2019126-000444
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CENTER FOR INTENTIONAL INCLUSIVE COMMUNITY
Organization’s Mailing Address 549 26TH STREET
City RICHMOND
State CA
ZIP 94804
Accounting period End 12
Primary contact name HUBERT IVERY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HUBERT IVERY
PRESIDENT
549 26TH STREET
RICHMOND CA 94804-1604

Officer/Director/Trustee Two

CARMEN CARTER
TREASURER
17117 WESTHEIMER ROAD 29
HOUSTON TX 77082-1259

Officer/Director/Trustee Three

MARY ELYN BAHLERT
SECRETARY
4454 VIEW PLACE
OAKLAND CA 94611-4214

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building 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 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 No
Correctness Declaration Yes
Signature Name HUBERT IVERY
Signature Title PRESIDENT
Signature Date 5/2/19

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