FORM 1023-EZ for LIVE WITH A PURPOSE FOUNATION INC

Field Data
EIN 84-2590732
Case Number EO-2019217-000371
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVE WITH A PURPOSE FOUNATION INC
Organization’s Mailing Address 330 MAPLE AVE APT 13
City WESTBURY
State NY
ZIP 11590
Accounting period End 12
Primary contact name CHRISTOPHER KELLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER KELLY
DIRECTOR, PRESIDENT
330 MAPLE AVE APT 13
WESTBURY NY 11590

Officer/Director/Trustee Two

MICHAEL KELLY
DIRECTOR, VICE PRESIDENT
330 MAPLE AVE APT 13
WESTBURY NY 11590

Officer/Director/Trustee Three

JENNIFER HAGE
DIRECTOR, TREASURER
117 STATFORD AVE
GARDEN CITY NY 11530

Organization’s website
Organization’s email LIVEWITHAPURPOSEFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 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 CHRISTOPHER KELLY
Signature Title DIRECTOR, PRESIDENT
Signature Date 8/1/19

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