FORM 1023-EZ for LETTUCE LIVE WELL INC

Field Data
EIN 47-1549700
Case Number EO-2014314-000238
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LETTUCE LIVE WELL INC
Organization’s Mailing Address 503 MALL CT SUITE 271
City LANSING
State MI
ZIP 48912
Accounting period End 12
Primary contact name KELLY ZIELINSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KELLY ZIELINSKI
PRESIDENT
503 MALL COURT SUITE 271
LANSING MI 48912

Officer/Director/Trustee Two

ASHLEY LOGAN
SECRETARY
503 MALL COURT SUITE 271
LANSING MI 48912

Officer/Director/Trustee Three

DENISE LOVELESS
TREASURER
503 MALL COURT SUITE 271
LANSING MI 48912

Organization’s website LETTUCELIVEWELL.ORG
Organization’s email INFO@LETTUCELIVEWELL.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K01 - Alliance/Advocacy Organizations
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 Yes
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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