FORM 1023-EZ for LIVING BREAD

Field Data
EIN 82-2780565
Case Number EO-2018053-000133
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVING BREAD
Organization’s Mailing Address PO BOX 87963
City SIOUX FALLS
State SD
ZIP 57109
Accounting period End 12
Primary contact name ANNA TIMMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRAIG TIMMER
DIRECTOR
29438 SD HWY 19
CENTERVILLE SD 57014

Officer/Director/Trustee Two

ANNA TIMMER
DIRECTOR
29438 SD HWY 19
CENTERVILLE SD 57014

Officer/Director/Trustee Three

MIKE LINDSAY
DIRECTOR
1121 MAIN STREET
CENTERVILLE SD 57014

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/22/17
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 ANNA TIMMER
Signature Title DIRECTOR
Signature Date 2/19/18

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