FORM 1023-EZ for CLEAN LIVING INC

Field Data
EIN 30-0953541
Case Number EO-2016279-000183
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLEAN LIVING INC
Organization’s Mailing Address 3437 MILTON AVENUE UNIT 2
City DALLAS
State TX
ZIP 75205
Accounting period End 12
Primary contact name STEPHANIE TOUPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE TOUPS
PRESIDENT
3437 MILTON AVENUE UNIT 2
DALLAS TX 75205

Officer/Director/Trustee Two

ANGELA NORTHCUTT
DIRECTOR
1531 NORTH BUCKNER
DALLAS TX 75218

Officer/Director/Trustee Three

DON MCELROY
DIRECTOR
7483 CR 126
MULESHOE TX 76877

Officer/Director/Trustee Four

CARRIE SMITH
DIRECTOR
7000 LAKESHORE
DALLAS TX 75214

Organization’s website NONE
Organization’s email STEPHANIETOUPS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 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 Yes
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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