FORM 1023-EZ for LIVE TO SERVE FOUNDATION

Field Data
EIN 80-0858432
Case Number EO-2016226-000049
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIVE TO SERVE FOUNDATION
Organization’s Mailing Address 5009 NORTH ROSEHILL STREET
City PHILADELPHIA
State PA
ZIP 19120
Accounting period End 12
Primary contact name LEONARD JAY KENNEDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEONARD JAY KENNEDY
CHIEF EXECUTIVE OFFICER
5009 NORTH ROSEHILL STREET
PHILADELPHIA PA 19120

Officer/Director/Trustee Two

MARK BERNARDO COLES
PRESIDENT BOARD OF DIRECTORS
470 SOUTH SILVER STREET
LAFAYETTE HILL PA 19444

Officer/Director/Trustee Three

JOANNE DOMAGALA
BOARD SECRETARY
725 MEADOWLARK ROAD
AUDUBON PA 19403

Officer/Director/Trustee Four

KENNETH DURKIN
BOARD TREASURE
614 ACORN STREET
PHILADELPHIA PA 19128

Officer/Director/Trustee Five

JAKE RAINWATER
BOARD VICE PRESIDENT
7546 VALLEY ROAD
PHILADELPHIA PA 19128

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/2012
Organization Incorporation State PA
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: 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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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