FORM 1023-EZ for INERGY PLUS

Field Data
EIN 86-2716515
Case Number EO-2021099-001157
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INERGY PLUS
Organization’s Mailing Address 775 SOUTH GIFFORD 11
City SAN BERNARDINO
State CA
ZIP 92408
Accounting period End 12
Primary contact name QUARAN SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

QUARAN SMITH
PRESIDENT
775 SOUTH GIFFORD STE 11
SAN BERNARDINO CA 92408

Officer/Director/Trustee Two

CALVIN LOWRY
TREASURER
3007 SHADID DRIVE
COLTON CA 92324

Officer/Director/Trustee Three

BRYAN HOPPER
SECRETARY
2272 PALM UNIT A
GRAND TERRACE CA 92313

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 QUARAN SMITH
Signature Title PRESIDENT
Signature Date 3/18/2021

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