FORM 1023-EZ for INTEGRITY LIVING

Field Data
EIN 84-3733829
Case Number EO-2020099-000061
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTEGRITY LIVING
Organization’s Mailing Address 2770 POWHATAN DRIVE
City SUMTER
State SC
ZIP 29150
Accounting period End 12
Primary contact name JENNIFER YATES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER YATES
PRESIDENT
2547 CRESCENT FOREST DRIVE
RALEIGH NC 27610

Officer/Director/Trustee Two

TESHOR OATES
SECRETARY
324 TEXANNA WAY
HOLLY SPRINGS NC 27540

Officer/Director/Trustee Three

IDA ANDERSON
TREASURER
20419 ALDERLEAF TERRACE
ASHBURN VA 20147

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/2019
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
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 JENNIFER YATES
Signature Title PRESIDENT
Signature Date 4/6/2020

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