FORM 1023-EZ for SUSTAINABLE CITY LIVING INC

Field Data
EIN 83-3006063
Case Number EO-2019038-000473
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUSTAINABLE CITY LIVING INC
Organization’s Mailing Address 1502 DALE AVENUE
City SOUTH BEND
State IN
ZIP 46613
Accounting period End 12
Primary contact name RAYMOND MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAYMOND MILLER
PRESIDENT
1502 DALE AVENUE
SOUTH BEND IN 46613

Officer/Director/Trustee Two

TERRY MERSICH
TREASURER
6460 MORTON CT
SOUTH BEND IN 46614

Officer/Director/Trustee Three

AMY ERNSPERGER
SECRETARY
30878 ASHWOOD DR
GRANGER IN 46530

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K20 - Agricultural Programs
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RAYMOND MILLER
Signature Title PRESIDENT
Signature Date 1/31/19

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