FORM 1023-EZ for SAVE1000LIVES

Field Data
EIN 81-5413230
Case Number EO-2019186-000150
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAVE1000LIVES
Organization’s Mailing Address 1670 BISCAYNE BAY CIRCLE
City JACKSONVILLE
State FL
ZIP 32218
Accounting period End 12
Primary contact name NAISHANDA LARRAMORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NAISHANDA LARRAMORE
PRESIDENT/CEO
1670 BISCAYNE BAY CIRCLE
JACKSONVILLE FL 32218

Officer/Director/Trustee Two

CHENELLE JONES
SECRETARY
413 BAISDEN ROAD
JACKSONVILLE FL 32218

Officer/Director/Trustee Three

PRISCILLA REDD
TREASURER
13100 BROXTON BAY DRIVE
JACKSONVILLE FL 32218

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/18
Organization Incorporation State FL
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: Yes
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 NAISHANDA LARRAMORE
Signature Title PRESIDENT/CEO
Signature Date 7/2/19

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