FORM 1023-EZ for LEAVE IT TO US INC

Field Data
EIN 81-1135630
Case Number EO-2016201-000376
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEAVE IT TO US INC
Organization’s Mailing Address 12184 TOPAZ ST
City SPRING HILL
State FL
ZIP 34608
Accounting period End 2
Primary contact name CHRISTINE JIMENEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINE JIMENEZ
PRESIDENT
12184 TOPAZ STREET
SPRING HILL FL 34608

Officer/Director/Trustee Two

DAISY RIOS
VICE PRESIDENT
5197 ABAGAIL DRIVE
SPRING HILL FL 34608

Organization’s website
Organization’s email BJLC4027@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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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