| Field | Data |
|---|---|
| EIN | 47-1609899 |
| Case Number | EO-2014274-000247 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | LIVING WELL - CHRONIC DISEASE REHABILITATION |
| Organization’s Mailing Address | 19 WILLIAM HENRY COURT |
| City | PLEASANT HILL |
| State | CA |
| ZIP | 94523 |
| Accounting period End | 12 |
| Primary contact name | RICHARD TRAVIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
RICHARD TRAVIS
CHIEF EXECUTIVE OFFICER
19 WILLIAM HENRY COURT
PLEASANT HILL CA 94523
LISA TRAVIS
SECRETARY
19 WILLIAM HENRY COURT
PLEASANT HILL CA 94523
ROBERT JACKSON
CHIEF FINANCIAL OFFICER
405 6TH AVENUE NO 3
SAN FRANCISCO CA 94118
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/11/2014 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| Organization’s purpose | Charitable: No 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 | 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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