FORM 1023-EZ for LIVESERVECARE INC

Field Data
EIN 83-1857142
Case Number EO-2020274-000405
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVESERVECARE INC
Organization’s Mailing Address 1530 W BOYNTON BEACH BLVD STE 3155
City BOYNTON BEACH
State FL
ZIP 33424
Accounting period End 8
Primary contact name SHEILA BANKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEILA BANKS
PRESIDENT
1530 W BOYNTON BEACH BLVD
BOYNTON FL 33424

Officer/Director/Trustee Two

SHAMERRA BROWN
TREASURE
2343 HERITAGE PARK CIRCLE
KENNESAW GA 30144

Officer/Director/Trustee Three

GALE ALLEN
SECRETARY
3820 COELBES AVE
BOYNTON BEACH FL 33436

Officer/Director/Trustee Four

VICKIE WILLIAMS
DIRECTOR
1390 N SEACREST BLVD
BOYNTON BEACH FL 33436

Officer/Director/Trustee Five

SYLVESTER BANKS JR
DIRECTOR
1806 SUNSET POINT G
CLEARWATER FL 33456

Organization’s website LIVESERVECARE.ORG
Organization’s email LIVESERVECARE14@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/2018
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 SHEILA BANKS
Signature Title PRESIDENT
Signature Date 9/28/2020

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