FORM 1023-EZ for SUCCESSFUL LIVING INSTITUTE INC

Field Data
EIN 27-3780216
Case Number EO-2016323-000300
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUCCESSFUL LIVING INSTITUTE INC
Organization’s Mailing Address 2609 S QUEBEC STREET UNIT 20
City DENVER
State CO
ZIP 80231
Accounting period End 10
Primary contact name CAROLYN JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLYN JONES
BOARD PRESIDENT
2609 S QUEBEC ST UNIT 20
DENVER CO 80231

Officer/Director/Trustee Two

MARY TELLIS
TREASURER
1155 EUDORA ST
DENVER CO 80231

Officer/Director/Trustee Three

AIDA SAHUD
MEMBER
143 W ELM STREET
LOUISVILLE CO 80027

Officer/Director/Trustee Four

TRACY PHILLIPS
MEMBER
4334 BISCAY STREET
DENVER CO 80249

Officer/Director/Trustee Five

LORETTA WARREN
MEMBER
4850 PERRY ST
DENVER CO 80212

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/2010
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 No
One Third Support Gifts No
Benefit of College Yes
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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