FORM 1023-EZ for CHOOSE 2 LIVE

Field Data
EIN 85-2471131
Case Number EO-2020244-000450
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHOOSE 2 LIVE
Organization’s Mailing Address 4063 S W LIDO DR
City LEES SUMMIT
State MO
ZIP 64082-4759
Accounting period End 12
Primary contact name ROBIN WALSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN WALSH
EXECUTIVE DIRECTOR
4063 SW LIDO DR
LEES SUMMIT MO 64082-4759

Officer/Director/Trustee Two

ROBIN WALSH
PRESIDENT
4063 SW LIDO DR
LEES SUMMIT MO 64082-4759

Officer/Director/Trustee Three

GREG STEPHENSON
VICE-PRESIDENT
12141 CEDAR CIRCLE
STE. GENIEVE MO 63670-8612

Officer/Director/Trustee Four

PATRICIA FERGUSON
TREASURER
8908 NE 80TH STREET
KANSAS CITY MO 64158-7708

Officer/Director/Trustee Five

SCOTT CONNELL
SECRETARY
4063 SW LIDO DR
LEES SUMMIT MO 64082-4759

Organization’s website CHOOSE2LIVE.ORG
Organization’s email RWALSH@CHOOSE2LIVE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2020
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 ROBIN WALSH
Signature Title PRESIDENT
Signature Date 8/27/2020

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