FORM 1023-EZ for VIVA CITY INC

Field Data
EIN 86-1620134
Case Number EO-2021085-001169
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VIVA CITY INC
Organization’s Mailing Address 2425 NORTH TAYLOR ROAD
City CLEVELAND HEIGHTS
State OH
ZIP 44118-1344
Accounting period End 12
Primary contact name KENDRA ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAZMYN J STOVER
FOUNDER AND EXECUTIVE DIRECTOR
5035 DELRAY AVENUE
SOLON OH 44139-1220

Officer/Director/Trustee Two

LISA VON LEHMDEN
BOARD CHAIR - PRESIDENT
4219 QUEENS GATE
AVON OH 44011-2771

Officer/Director/Trustee Three

GINA RASHAD
MEMBER
26360 AARON DRIVE
EUCLID OH 44132-2518

Officer/Director/Trustee Four

LEAH JACKSON
MEMBER
1320 WEST 110TH STREET
CLEVELAND OH 44102-1525

Organization’s website
Organization’s email ADMIN@VIVACITYRECOVERY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/2021
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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 JAZMYN J STOVER
Signature Title FOUNDER AND EXECUTIVE DIRECTOR
Signature Date 2/5/2021

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