FORM 1023-EZ for GIVE WELL LIVE WELL FOUNDATION INCORPORATED

Field Data
EIN 84-3324059
Case Number EO-2019325-000269
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GIVE WELL LIVE WELL FOUNDATION INCORPORATED
Organization’s Mailing Address 526 RED MILL ROAD
City CLAXTON
State GA
ZIP 30417-8184
Accounting period End 12
Primary contact name SHANNON HOWARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARJORIE NESBY
SECRETARY
3755 TIMBERLINE DRIVE
ORANGE PARK FL 32065

Officer/Director/Trustee Two

EMILY MURPHY
ASSISTANT TREASURER
602 GREEN STREET
GLENNVILLE GA 30427

Officer/Director/Trustee Three

SHANNON HOWARD
PRESIDENT
2551 SPRING POND LANE
JACKSONVILLE FL 32221

Officer/Director/Trustee Four

LATASHA SANDERS
TREASURER
110 LIBERTY STREET
GLENNVILLE GA 30427

Officer/Director/Trustee Five

KELLY MURPHY
VICE PRESIDENT
2212 SNOWCREEK COURT
JACKSONVILLE FL 32221

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 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 SHANNON HOWARD
Signature Title PRESIDENT
Signature Date 11/19/19

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