FORM 1023-EZ for EMBRACING SUCCESSFUL LIVING INC

Field Data
EIN 87-1136479
Case Number EO-2021165-000677
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMBRACING SUCCESSFUL LIVING INC
Organization’s Mailing Address 800 SYCAMORE 329
City EVANSVILLE
State IN
ZIP 47708
Accounting period End 12
Primary contact name PHYLLIS MCCRANEY MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PHYLLIS MCCRANEY MOORE
DIRECTOR
800 SYCAMORE ST 329
EVANSVILLE IN 47708

Officer/Director/Trustee Two

RODNEY MOORE
DIRECTOR
800 SYCAMORE ST 329
EVANSVILLE IN 47708

Officer/Director/Trustee Three

IMIARI MOORE
DIRECTOR
800 SYCAMORE ST 329
EVANSVILLE IN 47708

Officer/Director/Trustee Four

GERTRUDE MCCRANEY
DIRECTOR
800 SYCAMORE ST 329
EVANSVILLE IN 47708

Officer/Director/Trustee Five

DELORIS PERKINS
DIRECTOR
800 SYCAMORE ST 329
EVANSVILLE IN 47708

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2021
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
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 PHYLLIS MCCRANEY MOORE
Signature Title DIRECTOR
Signature Date 6/11/2021

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