FORM 1023-EZ for LIVING REFLECTIONS INC

Field Data
EIN 47-4258390
Case Number EO-2015190-000273
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIVING REFLECTIONS INC
Organization’s Mailing Address 240 CAMPUS DRIVE
City AMHERST
State NY
ZIP 14226
Accounting period End 12
Primary contact name PATRICIA FOLTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICIA FOLTS
PRESIDENT
240 CAMPUS DRIVE
AMHERST NY 14226

Officer/Director/Trustee Two

KAREN BONVISSUTO
SECRETARY
43 DELANEY AVE
BUFFALO NY 14216

Officer/Director/Trustee Three

JA OLIVO
TREASURER
342 HAMMOCKS DRIVE
ORCHARD PARK NY 14127

Organization’s website
Organization’s email TRISH78258@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2015
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 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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