FORM 1023-EZ for QUALITY LIVES INC

Field Data
EIN 83-4167761
Case Number EO-2019259-001037
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUALITY LIVES INC
Organization’s Mailing Address 445 HWY 6 EAST
City GENESEO
State IL
ZIP 61254
Accounting period End 12
Primary contact name CURTIS FORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JILL LAINGEN
OFFICER
18565 N 2300 AVE
GENESEO IL 61254

Officer/Director/Trustee Two

TAMARA BEDFORD
OFFICER
547 E MAIN
GENESEO IL 61254

Officer/Director/Trustee Three

SHANDA PEREZ
OFFICER
1043 S OAKWOOD
GENESEO IL

Officer/Director/Trustee Four

JODY AKERS
OFFICER
910 NEPTUNE
GENESEO IL 61254

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2019
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 JILL LAINGEN
Signature Title OFFICER
Signature Date 9/13/2019

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