FORM 1023-EZ for LIVED EXPERIENCES INC

Field Data
EIN 84-2389023
Case Number EO-2019217-000438
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVED EXPERIENCES INC
Organization’s Mailing Address 328 S WEITZEL ST APT 4
City OCEANSIDE
State CA
ZIP 92054
Accounting period End 12
Primary contact name OSCAR ORTEGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OSCAR ORTEGA
FOUNDER/CEO
328 S WEITZEL ST APT 4
OCEANSIDE CA 92054

Officer/Director/Trustee Two

DIEGO ORTEGA
TREASURE
328 S WEITZEL ST 4
OCEANSIDE CA

Officer/Director/Trustee Three

EDUARDO ORTEGA
SECRETARY
328 S WEITZEL ST 4
OCEANSIDE CA

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I21 - Delinquency Prevention
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 OSCAR ORTEGA
Signature Title FOUNDER/CEO
Signature Date 8/2/19

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