FORM 1023-EZ for LIVE AGAIN

Field Data
EIN 82-1150048
Case Number EO-2017198-000428
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIVE AGAIN
Organization’s Mailing Address 6956 EAST BROAD STREET
City COLUMBUS
State OH
ZIP 43213
Accounting period End 12
Primary contact name TAMARA MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMARA MOORE
CO-FOUNDER
7202 DONOVAN DRIVE
BLACKLICK OH 43004

Officer/Director/Trustee Two

GEORGETTE HALL
CO-FOUNDER
8104 ARTISAN WAY
REYNOLDSBURG OH 43068

Organization’s website N/A
Organization’s email LIVEAGAIN.LIFE@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
Organization’s purpose Charitable: No
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 Yes
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 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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