FORM 1023-EZ for LIVING IN SUCCESS

Field Data
EIN 85-3395180
Case Number EO-2021116-000507
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVING IN SUCCESS
Organization’s Mailing Address 1139 E JERSEY STREET
City ELIZABETH
State NJ
ZIP 07201
Accounting period End 12
Primary contact name CASILDA CALA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASILDA CALA
EXECUTIVE DIRECTOR
1139 E JERSEY STREET
ELIZABETH NJ 07201

Officer/Director/Trustee Two

SANDRA SERRA
CLINICAL DIRECTOR
1139 E JERSEY STREET
ELIZABETH NJ 07201

Officer/Director/Trustee Three

VALERIE MEJIA
FINANCIAL DIRECTOR
1139 E JERSEY STREET
ELIZABETH NJ 07201

Officer/Director/Trustee Four

EMILY MARTINEZ
ADMINSTRATIVE DIRECTOR
1139 E JERSEY STREET
ELIZABETH NJ 07201

Officer/Director/Trustee Five

DAZNETTE OQUIENDO
SOCIAL SERVICES DIRECTOR
1139 E JERSEY STREET
ELIZABETH NJ 07201

Organization’s website
Organization’s email LIVINGINSUCCESSNJ@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2020
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
Organization’s purpose Charitable: No
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 CASILDA CALA
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/23/2021

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