FORM 1023-EZ for LIVING FORWARD

Field Data
EIN 61-1905139
Case Number EO-2019042-000327
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVING FORWARD
Organization’s Mailing Address 501 ULVERSTON STREET
City OAK PARK
State CA
ZIP 91377
Accounting period End 12
Primary contact name STEVEN ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN ADAMS
PRESIDENT
501 ULVERSTON STREET
OAK PARK CA 91377

Officer/Director/Trustee Two

CRAIG DIMMICK
BOARD MEMBER
501 ULVERSTON STREET
OAK PARK CA 91377

Officer/Director/Trustee Three

DAN MILLER
BOARD MEMBER
501 ULVERSTON STREET
OAK PARK CA 91377

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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 STEVEN ADAMS
Signature Title PRESIDENT
Signature Date 2/8/19

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