FORM 1023-EZ for LIVING TO CHANGE OUTREACH INC

Field Data
EIN 83-4298223
Case Number EO-2019108-000155
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVING TO CHANGE OUTREACH INC
Organization’s Mailing Address 1114 SHAW ST
City BURLINGTON
State NC
ZIP 27217
Accounting period End 12
Primary contact name CLARISSA DALE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GWENDOLYN SINGLETON
EXECUTIVE DIRECTOR
1114 SHAW ST
BURLINGTON NC 27217

Officer/Director/Trustee Two

CLARISSA PAUL
PRESIDENT/TREASURER
1114 SHAW ST
BURLINGTON NC 27217

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: Yes
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 CLARISSA PAUL
Signature Title PRESIDENT/TREASURER
Signature Date 4/16/19

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