FORM 1023-EZ for TO LIVE TO LOVE TO LAUGH TO SERVE

Field Data
EIN 84-1729888
Case Number EO-2019148-000516
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TO LIVE TO LOVE TO LAUGH TO SERVE
Organization’s Mailing Address 1674 MELROSE DRIVE SW
City ATLANTA
State GA
ZIP 30310
Accounting period End 12
Primary contact name IVY LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IVY LEE
PRESIDENT
1674 MELROSE DRIVE SW
ATLANTA GA 30310

Officer/Director/Trustee Two

HORATIOUS CROOM
VICE PRESIDENT
1320 HEATHERLAND DRIVE SW
ATLANTA GA 30331

Officer/Director/Trustee Three

TASHA WILSON
SECRETARY
37 COLLINS DRIVE
MIDWAY PARK NC 28544

Officer/Director/Trustee Four

QUENTIN KITHCART
TREASURER
2056 DESIOORS DRIVE
ATLANTA GA 30318

Officer/Director/Trustee Five

JOHN MELTON
DIRECTOR
3031 NANTUCKET COVE
CONYERS GA 30012

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' Services
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name IVY LEE
Signature Title PRESIDENT
Signature Date 5/24/19

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