FORM 1023-EZ for AMARIS LIVING FOUNDATION INC

Field Data
EIN 81-3735983
Case Number EO-2017242-000286
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMARIS LIVING FOUNDATION INC
Organization’s Mailing Address 10 MORTIMER DRIVE
City OLD GREENWICH
State CT
ZIP 06870-1935
Accounting period End 12
Primary contact name JIN GRACE SONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIN GRACE SONG
PRESIDENT
10 MORTIMER DRIVE
OLD GREENWICH CT 06870-1935

Officer/Director/Trustee Two

YOON SONG
DIRECTOR
31 BROOKWOOD ROAD
BEDFORD NY 10506-1903

Officer/Director/Trustee Three

BILL MORIN
DIRECTOR
189 SIGWIN DRIVE
FAIRFIELD CT 06824-4005

Officer/Director/Trustee Four

SHARON BOTTOMLY
DIRECTOR
30 LOST DISTRICT DRIVE
NEW CANNAN CT 06840-2004

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2016
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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