FORM 1023-EZ for LIVING LFS INC

Field Data
EIN 47-1326501
Case Number EO-2015035-000343
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIVING LFS INC
Organization’s Mailing Address 907 REISS ROAD
City O'FALLON
State IL
ZIP 62269-1227
Accounting period End 12
Primary contact name REBECCA MOONEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER MALLORY
PRESIDENT
91-1135 KAIEE STREET
EWA BEACH HI 96706-6255

Officer/Director/Trustee Two

TRISHA SHELLY-STEPHENS
VICE PRESIDENT
8130 W BRUNEAU AVENUE
KENNEWICK WA 99336-1681

Officer/Director/Trustee Three

REBECCA MOONEY
SECRETRARY/TREASURER
907 REISS ROAD
O'FALLON IL 62269-1227

Officer/Director/Trustee Four

AMI GIGNAC
DIRECTOR
2743 SUMMIT ROAD
RAVENNA OH 44266-9034

Officer/Director/Trustee Five

ANN RAMER
DIRECTOR
10010 GATEWOOD DRIVE
BRECKSVILLE OH 44141-3615

Organization’s website WWW.LIVINGLFS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G80 - Specifically Named Diseases
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
Signature Title
Signature Date

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