FORM 1023-EZ for CO-LIVING COMMUNITIES INC

Field Data
EIN 84-3191262
Case Number EO-2019273-000452
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CO-LIVING COMMUNITIES INC
Organization’s Mailing Address 17518 MIMICH WAY
City LOUISVILLE
State KY
ZIP 40245
Accounting period End 12
Primary contact name NANCY HANCOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK STEIN
PRESIDENT
17518 MIMICH WAY
LOUISVILLE KY 40243

Officer/Director/Trustee Two

VICTORIA STEIN
VICE PRESIDENT
17518 MIMICH WAY
LOUISVILLE KY 40245

Officer/Director/Trustee Three

BRIAN ARBENZ
TREASURER
1830 EASTERN PARKWAY APT 2
LOUISVILLE KY 40204

Officer/Director/Trustee Four

CRAIG SCAFIDI
DIRECTOR
500 WESTSHORE BLVD SUITE 850
TAMPA FL 33609

Officer/Director/Trustee Five

BRETT CORBIN
DIRECTOR
4006 MEADOWLAND DR
LOUISVILLE KY 40059

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/2019
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L25 - Housing Rehabilitation
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARK STEIN
Signature Title PRESIDENT
Signature Date 9/27/2019

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