FORM 1023-EZ for ETERNITY MINDSET LIVING

Field Data
EIN 83-3703286
Case Number EO-2019091-000469
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ETERNITY MINDSET LIVING
Organization’s Mailing Address 8286 TELLER COURT
City ARVADA
State CO
ZIP 80003
Accounting period End 12
Primary contact name LARRY WICKES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL KELLEY
PRESIDENT
255 WOODMOOR DRIVE
MONUMENT CO 80132

Officer/Director/Trustee Two

DANA KELLEY
VICE PRESIDENT
255 WOODMOOR DRIVE
MONUMENT CO 80132

Officer/Director/Trustee Three

LARRY WICKES
SECRETARY/TREASURER
8286 TELLER COURT
ARVADA CO 80003

Organization’s website ETERNITYMINDSETLIVING.ORG
Organization’s email ETERNITYMINDSETLIVING@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 LARRY WICKES
Signature Title SECRETARY/TREASURER
Signature Date 3/27/19

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