FORM 1023-EZ for SOULCIETY NON-PROFIT ORGANIZATION

Field Data
EIN 84-2054149
Case Number EO-2020287-000474
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOULCIETY NON-PROFIT ORGANIZATION
Organization’s Mailing Address 6500 SHATTUCK AVENUE C
City OAKLAND
State CA
ZIP 94609-1071
Accounting period End 6
Primary contact name RON CARINO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOSHE AMUNDSON
PRESIDENT
5900B KATELLA AVENUE SUITE 100
CYPRESS CA 90630-5019

Officer/Director/Trustee Two

ELLEN SESMUNDO
SECRETARY
2806 DARWIN STREET
HAYWARD CA 94545-3345

Officer/Director/Trustee Three

CECILIO MILLS
TREASURER
2960 PUTNAM BOULEVARD
WALNUT CREEK CA 94597-1841

Officer/Director/Trustee Four

RON CARINO
EXECUTIVE DIRECTOR
6500 SHATTUCK AVENUE C
OAKLAND CA 94609-1071

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/4/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development 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 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 RON CARINO
Signature Title EXECUTIVE DIRECTOR
Signature Date 10/10/2020

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