FORM 1023-EZ for PAINLESS LIVING

Field Data
EIN 84-3870979
Case Number EO-2019340-000351
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAINLESS LIVING
Organization’s Mailing Address 4300 TALBOT RD S STE 314
City RENTON
State WA
ZIP 98055
Accounting period End 12
Primary contact name CHANG B SHIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHANG SHIN
PRESIDENT
1089 LAKE WASHINGTON BLVD N A101
RENTON WA 98056

Officer/Director/Trustee Two

JOYCE AHN
SECRETARY
1089 LAKE WAHINGTON BLVD N A101
RENTON WA 98056

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/2019
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E30 - Health Treatment Facilities, Primarily Outpatient
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 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 CHANG SHIN
Signature Title PRESIDENT
Signature Date 12/4/2019

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