FORM 1023-EZ for LIVE THE EDGE BY EXAMPLE

Field Data
EIN 82-4101394
Case Number EO-2019352-000276
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVE THE EDGE BY EXAMPLE
Organization’s Mailing Address 112 FONTAINE LANDING CT
City LOUISVILLE
State KY
ZIP 40212
Accounting period End 12
Primary contact name HERB HENRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY BOYD
PRESIDENT
4629 CROFTSHIRE DR
DAYTON OH 45440

Officer/Director/Trustee Two

AMY VERST
VICE PRESIDENT
1331 S BROOK ST
LOUISVILLE KY 40208

Officer/Director/Trustee Three

JEREMY RANDALL
TREASURER
608 BERWYN DR
LOUISVILLE KY 40223

Officer/Director/Trustee Four

GENC HYSENI
SECRETARY
733 DOUGLASS PARK
LOUISVILLE KY 40214

Officer/Director/Trustee Five

HERBERT HENRY
DIRECTOR
112 FONTAINE LANDING
LOUISVILLE KY 40212

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2018
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N02 - Management & Technical Assistance
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 Yes
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 HERBERT HENRY
Signature Title DIRECTOR
Signature Date 12/16/2019

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