FORM 1023-EZ for SURVIVING LIFE LLC

Field Data
EIN 81-3893840
Case Number EO-2016265-000335
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SURVIVING LIFE LLC
Organization’s Mailing Address 241 N 4TH ST 3681
City GRAND JUNCTION
State CO
ZIP 81505
Accounting period End 12
Primary contact name BRANDON MONCY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDON MONCY
DIRECTOR
269 GETTYSBURG ST
GRAND JUNCTION CO 81503

Organization’s website WWW.SURVIVINGLIFELLC.COM
Organization’s email SURVIVINGLIFELLC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2016
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - Fund Raising and/or Fund Distribution
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 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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