FORM 1023-EZ for GREEN STATE OF LIFE

Field Data
EIN 47-2098622
Case Number EO-2014317-000120
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREEN STATE OF LIFE
Organization’s Mailing Address 1331 RALSTON ST
City RENO
State NV
ZIP 89503
Accounting period End 10
Primary contact name OLIVER DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICAH BOWSER
PRESIDENT
3310 MARKRIDGE DR
RENO NV 89509

Officer/Director/Trustee Two

OLIVER DAVIS
SECRETARY
3230 OUTBACK LN
RENO NV 89510

Officer/Director/Trustee Three

RYAN CASSELL
TREASURER
987 WOLF CREEK DR
SPRING CREEK NV 89815

Officer/Director/Trustee Four

LONNIE ANDERSON
VICE PRESIDENT
924 TOBIANO RD
SPRING CREEK NV 89815

Officer/Director/Trustee Five

JAKE BURT
DIRECTOR
646 FLORA PLAZA
SPRING CREEK NV 89815

Organization’s website GREENSOL.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2014
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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
Signature Title
Signature Date

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