FORM 1023-EZ for LIVING VALUES AN EDUCATIONAL PROGRAM

Field Data
EIN 11-3470060
Case Number EO-2021273-000232
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVING VALUES AN EDUCATIONAL PROGRAM
Organization’s Mailing Address 455
City SEAL BEACH
State CA
ZIP 90740
Accounting period End 12
Primary contact name ANNIE JORGENSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANE TILLMAN
PRESIDENT
302 16TH STREET
SEAL BEACH CA 90740

Officer/Director/Trustee Two

ANNIE JORGENSEN
TREASURER
1035 BROOKLINE CIRCLE
EL DORADO HILLS CA 95762

Officer/Director/Trustee Three

DEBORAH BURNHAM
SECRETARY
7080 KAHUNA ROAD
KAPAA HI 96746

Organization’s website WWW.LIVINGVALUES.NET
Organization’s email USAWESTCOAST@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/1999
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration No
Signature Name ANNIE JORGENSEN
Signature Title TREASURER
Signature Date 9/28/2021

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