FORM 1023-EZ for BUSY LIVING SOBER INC

Field Data
EIN 81-1501305
Case Number EO-2016231-000262
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BUSY LIVING SOBER INC
Organization’s Mailing Address 400 E LANCASTER AVENUE SUITE 4
City WAYNE
State PA
ZIP 19087
Accounting period End 12
Primary contact name KRISTIN MAZANY NEVINS ESQUIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH CHANCE
DIRECTOR/PRESIDENT
37 WEST AVENUE 3RD FLOOR
WAYNE PA 19087

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/2016
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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
Signature Title
Signature Date

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