FORM 1023-EZ for LIFTING LIVES INC

Field Data
EIN 83-0666329
Case Number EO-2018155-000280
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFTING LIVES INC
Organization’s Mailing Address 21506 GOLDEN AUTUMN PL
City BROADLANDS
State VA
ZIP 20148
Accounting period End 4
Primary contact name GERALD ALCANTARA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERALD ALCANTARA
PRESIDENT, DIRECTOR
21506 GOLDEN AUTUMN PL
BROADLANDS VA 20148

Officer/Director/Trustee Two

ROBERT AHMED
VICE PRESIDENT, SECRETARY, DIRECTOR
3620 JOSEPH SIEWICK DR
FAIRFAX VA 22033

Officer/Director/Trustee Three

CHUCK PRUNA
TREASURER, DIRECTOR
19415 DEERFIELD AVE STE 112
LANSDOWNE VA 20176

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Conducting Activities Outside of United States Yes
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 GERALD ALCANTARA
Signature Title PRESIDENT, DIRECTOR
Signature Date 6/1/18

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