FORM 1023-EZ for LIFTED INTERNATIONAL

Field Data
EIN 47-1995098
Case Number EO-2020318-000073
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFTED INTERNATIONAL
Organization’s Mailing Address 5716 COSA AVE STE 110
City WESTLAKE VILLAGE
State CA
ZIP 91362
Accounting period End 12
Primary contact name STEPHEN WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHEN WHITE
CEO AND BOARD MEMBER
1907 DIAMOND STREET
SAN FRANCISCO CA 94131

Officer/Director/Trustee Two

NORMAN SCHRIEVER
SECRETARY AND BOARD MEMBER
37 ELIHU STREET
HAMDEN CT 06517

Officer/Director/Trustee Three

DAVID AARONSON
CFO AND BOARD MEMBER
755 26TH AVENUE
SAN FRANCISCO CA 94121

Organization’s website HTTP://WWW.LIFTEDINT.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name STEPHEN WHITE
Signature Title CEO AND BOARD MEMBER
Signature Date 11/11/2020

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