FORM 1023-EZ for CULTIVATING LIVES INC

Field Data
EIN 85-0728411
Case Number EO-2021100-001105
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CULTIVATING LIVES INC
Organization’s Mailing Address 53 E MERRICK RD STE149
City FREEPORT
State NY
ZIP 11520-4056
Accounting period End 12
Primary contact name LA SHAWN LUKES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LA SHAWN LUKES
PRESIDENT
53 E MERRICK ROAD STE 149
FREEPORT NY 11520-4056

Officer/Director/Trustee Two

SHALANA SMITH
SECRETARY
53 E MERRICK ROAD STE 149
FREEPORT NY 11520-4056

Officer/Director/Trustee Three

JAMIE FREEMAN
TREASURER
53 E MERRICK ROAD STE 149
FREEPORT NY 11520-4056

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2020
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 LA SHAWN LUKES
Signature Title PRESIDENT
Signature Date 3/30/2021

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