FORM 1023-EZ for EXCONFLICTS INC

Field Data
EIN 84-4653278
Case Number EO-2020066-000492
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EXCONFLICTS INC
Organization’s Mailing Address 1917 LEWIS AVE
City ROCKVILLE
State MD
ZIP 20851
Accounting period End 6
Primary contact name JOHN LUCKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN LUCKETT
DIRECTOR
1917
ROCKVILLE MD 20851

Officer/Director/Trustee Two

ANITA ROBBINS
SECRETARY
1917 LEWIS AVE
ROCKVILLE MD 20851

Officer/Director/Trustee Three

JUANJAI LUCKETT
PRESIDENT
1920 RUATAN ST
ADELPHI MD 20783

Officer/Director/Trustee Four

LUCINDA DAVIS
VICE PRESIDENT
6619 ROSEMONT ST
UPPER MARLBORO MD 20774

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2020
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J30 - Vocational Rehabilitation
Organization’s purpose Charitable: Yes
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 JOHN LUCKETT
Signature Title DIRECTOR
Signature Date 3/4/2020

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