FORM 1023-EZ for LOVE WELL LIVE WELL INCORPORATED

Field Data
EIN 83-3045366
Case Number EO-2019031-000892
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOVE WELL LIVE WELL INCORPORATED
Organization’s Mailing Address 59 AVALON COURT
City CHICO
State CA
ZIP 95926
Accounting period End 12
Primary contact name DANIEL WYSONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL WYSONG
DIRECTOR
59 AVALON COURT
CHICO CA 95926

Officer/Director/Trustee Two

TINA ROSENQUIST
TREASURER
1253 YOSEMITE DRIVE
CHICO CA 95928

Officer/Director/Trustee Three

KAYLA MATTESON
SECRETARY
721 WEST 3RD STREET APT A
CHICO CA 95928

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/26/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 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 DANIEL WYSONG
Signature Title DIRECTOR
Signature Date 1/7/19

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