FORM 1023-EZ for IM LIVING PROOF

Field Data
EIN 86-3180455
Case Number EO-2021106-000322
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IM LIVING PROOF
Organization’s Mailing Address 1202 AMESBURY LN
City RICHMOND
State VA
ZIP 23227
Accounting period End 12
Primary contact name DANYELL COSBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANYELL COSBY
PRESIDENT
1202 AMESBURY LANE
RICHMOND VA 23227

Officer/Director/Trustee Two

SHANILE BUCKNER
TREASURER
4055 MALLLARD CREEK CIRCLE APT 201
MIDLOTHIAN VA 23112

Officer/Director/Trustee Three

MONTINIQUE RUFFIN
VICE PRESIDENT
4121 MALLARD LANDING CR APT 203
MIDLOTHIAN VA 23112

Organization’s website
Organization’s email danyellc1984@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2021
Organization Incorporation State VA
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 DANYELL COSBY
Signature Title PRESIDENT
Signature Date 4/14/2021

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