FORM 1023-EZ for LILYS LIST

Field Data
EIN 83-1859665
Case Number EO-2018303-000167
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LILYS LIST
Organization’s Mailing Address 3914 MESA DR 201
City OCEANSIDE
State CA
ZIP 92056-2641
Accounting period End 9
Primary contact name TAYLOR CECELIA BROOK COSTELLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAYLOR COSTELLO
DIRECTOR/CEO
3914 MESA DR 201
OCEANSIDE CA 92056-2641

Officer/Director/Trustee Two

JOSEPH COSTELLO
DIRECTOR/SECRETARY
3914 MESA DR 201
OCEANSIDE CA 92056-2641

Officer/Director/Trustee Three

MICHELLE VAN GENT
TREASURER
144 N GLENDORA AVE
COVINA CA 91724-2965

Officer/Director/Trustee Four

MARIAH LOFGRAN
NURSING ADVISOR
12626 MEMORIAL WAY 3133
MORENO VALLEY CA 92553-7584

Officer/Director/Trustee Five

EMILY SNOWDEN
SOCIAL WORKER
443 AVINEDA CRESPI
SAN CLEMENTE CA 92672-3331

Organization’s website LILYSLIST.ORG
Organization’s email LILYSLIST2018@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E19 - Nonmonetary Support 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 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 TAYLOR COSTELLO
Signature Title DIRECTOR/CEO
Signature Date 10/26/18

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