FORM 1023-EZ for LIVE DISABLED

Field Data
EIN 83-0855625
Case Number EO-2018169-000332
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVE DISABLED
Organization’s Mailing Address 305 SCARLETT BLVD
City SPRINGDALE
State AR
ZIP 72762
Accounting period End 12
Primary contact name RACHAEL STOUT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHAEL STOUT
CHAIRMAN OF THE BOARD
305 SCARLETT BLVD
SPRINGDALE AR 72762

Officer/Director/Trustee Two

SHELLY CLARK
SECRETARY/TREASURER
305 SCARLETT BLVD
SPRINGDALE AR 72762

Officer/Director/Trustee Three

LELA CURTIS
VICE CHAIR
18175 S BLACK OAK RD
WINSLOW AR 72959

Organization’s website LIVEDISABLED.COM
Organization’s email RACHAEL@LIVEDISABLED.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/18
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 RACHAEL STOUT
Signature Title CHAIRMAN OF THE BOARD
Signature Date 6/13/18

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