FORM 1023-EZ for LIVE LIKE KELLY INC

Field Data
EIN 83-1648441
Case Number EO-2018283-000348
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVE LIKE KELLY INC
Organization’s Mailing Address 124 CLOVER ROAD
City SYRACUSE
State NY
ZIP 13219
Accounting period End 12
Primary contact name MATTHEW WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW WILSON
DIRECTOR, PRESIDENT
124 CLOVER ROAD
SYRACUSE NY 13219

Officer/Director/Trustee Two

EMILY SQUAIRS
VP OF FINANCE, TREASURER
491 CLAYTON MANOR DR SOUTH APT 5
LIVERPOOL NY 13088

Officer/Director/Trustee Three

JANICE ROSS
DIRECTOR, SECRETARY
121 SHOREVIEW DRIVE
LIVERPOOL NY 13090

Officer/Director/Trustee Four

DOUG ROSS
DIRECTOR, VP DONOR RELATIONS
121 SHOREVIEW DRIVE
LIVERPOOL NY 13090

Officer/Director/Trustee Five

KAREN WILSON
DIRECTOR, VP EVENT PLANNING
195 CHARLANE PARKWAY
NORTH SYRACUSE NY 13212

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MATTHEW WILSON
Signature Title DIRECTOR, PRESIDENT
Signature Date 10/8/18

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