FORM 1023-EZ for GIVING TO SAVE LIVES INC

Field Data
EIN 81-0929431
Case Number EO-2016321-000360
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GIVING TO SAVE LIVES INC
Organization’s Mailing Address 2105 WESTERLY DRIVE SPACE 84
City ROSAMOND
State CA
ZIP 93560
Accounting period End 12
Primary contact name DWIGHT BLACKWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DWIGHT BLACKWELL
PRESIDENT
2105 WESTERLY DRIVE SPACE 84
ROSAMOND CA 93560

Officer/Director/Trustee Two

PEARLINE BAILEY
VICE PRESIDENT
2105 WESTERLY DRIVE SPACE 84
ROSAMOND CA 93560

Officer/Director/Trustee Three

PAMELA EDWARDS
SECRETARY
2105 WESTERLY DRIVE SPACE 84
ROSAMOND CA 93560

Organization’s website
Organization’s email BLACKWELLDWIGHT@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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