FORM 1023-EZ for LIVING ORGAN DONOR ASSISTANCE FUND

Field Data
EIN 84-4583210
Case Number EO-2020230-000347
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVING ORGAN DONOR ASSISTANCE FUND
Organization’s Mailing Address 1374 CERRITOS DRIVE
City LAGUNA BEACH
State CA
ZIP 92651
Accounting period End 12
Primary contact name HEIDI ANN MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEIDI ANN MILLER
PRESIDENT
1374 CERRITOS DRIVE
LAGUNA BEACH CA 92651

Officer/Director/Trustee Two

BRUCE COOK
VICE PRESIDENT
1221 W COAST HWY
NEWPORT BEACH CA 92663

Officer/Director/Trustee Three

CATHERINE THYEN
SECREATRY
1701 BAYADERE TERRACE
CORONA DEL MAR CA 92625

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HEIDI ANN MILLER
Signature Title PRESIDENT
Signature Date 8/13/2020

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