FORM 1023-EZ for LIVE TO TELL

Field Data
EIN 84-2924023
Case Number EO-2019261-000253
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVE TO TELL
Organization’s Mailing Address 2715 DOUGHTON ST S
City SALEM
State OR
ZIP 97302
Accounting period End 12
Primary contact name ERIC MARTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC MARTZ
PRESIDENT
2715 DOUGHTON ST S
SALEM OR 97302

Officer/Director/Trustee Two

ELIZABETH BINFORD-ROSS
SECRETARY
1000 JUDSON ST SE
SALEM OR 97302

Officer/Director/Trustee Three

TAYLOR PALUSKA
DIRECTOR
3265 SUMAC DR S
SALEM OR 97302

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/19
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 Yes
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 ERIC MARTZ
Signature Title PRESIDENT
Signature Date 9/16/19

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