FORM 1023-EZ for LIVINGSTONE LODGE

Field Data
EIN 20-5648036
Case Number EO-2019105-000548
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVINGSTONE LODGE
Organization’s Mailing Address 5863 WYNN JONES RD E
City PORT ORCHARD
State WA
ZIP 98366-8057
Accounting period End 12
Primary contact name BETTY FRENCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BETTY FRENCH
SECRETARY TREASURER
5863 WYNN JONES RD E
PORT ORCHARD WA 98366-8057

Officer/Director/Trustee Two

EUGENE FRENCH
PRESIDENT
5863 WYNN JONES RD E
PORT ORCHARD WA 98366-8057

Organization’s website
Organization’s email FRENCHBG@WAVECABLE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/06
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BETTY FRENCH
Signature Title SECRETARY TREASURER
Signature Date 4/12/19

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