FORM 1023-EZ for APPLIED CONSCIOUSNESS INITIATIVE
| Field | Data |
|---|---|
| EIN | 83-2016829 |
| Case Number | EO-2019246-000395 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | APPLIED CONSCIOUSNESS INITIATIVE |
| Organization’s Mailing Address | PO BOX 70 |
| City | GUALALA |
| State | CA |
| ZIP | 95445 |
| Accounting period End | 12 |
| Primary contact name | JENNIFER BRIERE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JENNIFER BRIERE
DIRECTOR
PO BOX 70
GUALALA CA 95445-9997
Officer/Director/Trustee Two
LISA WIENEKE-RICH
DIRECTOR
PO BOX 70
GUALALA CA 95445-9997
Officer/Director/Trustee Three
MADISON MADDEN
DIRECTOR
PO BOX 70
GUALALA CA 95445-9997
Officer/Director/Trustee Four
RAPHAELA WARE
DIRECTOR
21535 ROSCOE BLVD APT 218
WOODLAND HILLS CA 91364
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/12/18 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| 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 | No |
| 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 | JENNIFER BRIERE |
| Signature Title | DIRECTOR |
| Signature Date | 8/30/19 |
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