FORM 1023-EZ for INDEPENDENT LIVES INC

Field Data
EIN 85-0809142
Case Number EO-2021165-000581
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INDEPENDENT LIVES INC
Organization’s Mailing Address 310 4TH AVE S SUITE 5010-94097
City MINNEAPOLIS
State MN
ZIP 55415
Accounting period End 12
Primary contact name ANGEL HARBISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGEL HARBISON
FOUNDER AND CEO
218 ARBORWOOD LN
ROCHESTER NY 55415

Organization’s website
Organization’s email ANGEL.HARBISON@ILMN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/2020
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R23 - Disabled Persons' Rights
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 ANGEL HARBISON
Signature Title FOUNDER AND CEO
Signature Date 6/11/2021

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