FORM 1023-EZ for A PLUS LIVING

Field Data
EIN 47-3454537
Case Number EO-2019148-000438
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A PLUS LIVING
Organization’s Mailing Address 14589 HAGUS PL
City PARKER
State CO
ZIP 80134
Accounting period End 6
Primary contact name ZINA DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TODD DAVIS
DIRECTOR, PRESIDENT
14589 HAGUS PL
PARKER CO 80134

Officer/Director/Trustee Two

ZINA DAVIS
DIRECTOR, TREASURER
14589 HAGUS PL
PARKER CO 80134

Officer/Director/Trustee Three

KAREN DAVIS
DIRECTOR, SECRETARY
3715 CLUB RANCHO DR
PALMDALE CA 93551

Organization’s website WWW.TODDDAVISAPLUS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/15
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TODD DAVIS
Signature Title DIRECTOR, PRESIDENT
Signature Date 5/24/19
EIN 47-3454537
Case Number EO-2016085-000440
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name A PLUS LIVING
Organization’s Mailing Address 742 W LANCASTER BLVD - 2ND FLOOR
City LANCASTER
State CA
ZIP 93534
Accounting period End 6
Primary contact name KAREN DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAREN DAVIS
PRESIDENT
3715 CLUB RANCHO DRIVE
PALMDALE CA 93551

Officer/Director/Trustee Two

TODD DAVIS
VICE PRESIDENT
3715 CLUB RANCHO DRIVE
PALMDALE CA 93551

Officer/Director/Trustee Three

KESHIA TATE
SECRETARY
2925 EAST RIGGS ROAD - 248
CHANDLER AZ 85249

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
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 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
Signature Title
Signature Date

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