FORM 1023-EZ for IMPECCABLE LIVING INC

Field Data
EIN 87-1482604
Case Number EO-2021214-000131
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMPECCABLE LIVING INC
Organization’s Mailing Address 38020 11TH ST EAST APT B16
City PALMDALE
State CA
ZIP 93550-5363
Accounting period End 12
Primary contact name MIA MONTGOEMRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIA MONTGOMERY
FOUNDER
38020 11TH ST EAST APT B16
PALMDALE CA 93550-5363

Officer/Director/Trustee Two

TYNEISHA ROBINSON
DIRECTOR
1634 RENEE ST
LANCASTER CA 93535-2758

Officer/Director/Trustee Three

STEVEN LINSON
DIRECTOR
11159 S SAN PEDRO ST
LOS ANGELES CA 90061-2557

Officer/Director/Trustee Four

KEITH MAYFIELD
DIRECTOR
1806 257TH STREET
LOMITA CA 90717-2718

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 MIA MONTGOMERY
Signature Title FOUNDER
Signature Date 7/29/2021

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