FORM 1023-EZ for CHOOSE LIVE LEAD INC

Field Data
EIN 47-2109548
Case Number EO-2014338-000156
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHOOSE LIVE LEAD INC
Organization’s Mailing Address 9015 LINN STATION RD
City LOUISVILLE
State KY
ZIP 40222
Accounting period End 12
Primary contact name HEIDI FORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HEIDI FORE
DIRECTOR
9015 LINN STATION RD
LOUISVILLE KY 40222

Officer/Director/Trustee Two

JENNIFER VORIES
DIRECTOR
562 BUCKSHIRE GLEN DR
FLORENCE KY 41042

Officer/Director/Trustee Three

KATIE PISCITELLI
DIRECTOR
3808 PLYMOUTH RD
LOUISVILLE KY 40207

Organization’s website WWW.CHOOSELIVELEAD.COM
Organization’s email HEIDI@HEIDIFORE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2014
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 Yes
Conducting Activities Outside of United States Yes
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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