FORM 1023-EZ for LIVING TO WIN FOUNDATION

Field Data
EIN 82-3070657
Case Number EO-2017313-000068
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIVING TO WIN FOUNDATION
Organization’s Mailing Address 6 DUNSTON LANE
City BELLA VISTA
State AR
ZIP 72714
Accounting period End 10
Primary contact name TIMESIA HART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMESIA HART
CEO
6 DUNSTON LN
BELLA VISTA AR 72714

Officer/Director/Trustee Two

JOSHUA HART
CFO
6 DUNSTON LN
BELLA VISTA AR 72714

Officer/Director/Trustee Three

NAEAIDRIA CALLIHAN
COO
7108 TWEED DR
DALLAS TX 75235

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2017
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G50 - Nerve, Muscle and Bone Diseases
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 Yes
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 Yes
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
Signature Title
Signature Date

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