FORM 1023-EZ for CULTIVATING LIFE INC

Field Data
EIN 46-1656925
Case Number EO-2018325-000214
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CULTIVATING LIFE INC
Organization’s Mailing Address 1042 W WESTERN AVE
City SOUTH BEND
State IN
ZIP 46601-2750
Accounting period End 12
Primary contact name LARISSA CHISM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARISSA CHISM
PRESIDENT
1042 W WESTERN AVE
SOUTH BEND IN 46601-2750

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/12
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LARISSA CHISM
Signature Title PRESIDENT
Signature Date 11/19/18

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