FORM 1023-EZ for GIVEN AND GAINED INC

Field Data
EIN 84-4765519
Case Number EO-2021242-000784
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GIVEN AND GAINED INC
Organization’s Mailing Address 98106 OLSEN LN
City BROOKINGS
State OR
ZIP 97415
Accounting period End 1
Primary contact name LORENZO MORA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA EVINGTON
DIRECTOR 1
98106 OLSEN LN
BROOKINGS OR 97415

Officer/Director/Trustee Two

LORENZO MORA
DIRECTOR 2
98106 OLSEN LN
BROOKINGS OR 97415

Officer/Director/Trustee Three

BEN ARNOLD
DIRECTOR 3
5500 DOBBS ST UNIT 8
LOS ANGELES CA 90032

Organization’s website
Organization’s email GIVENANDGAINED@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANDREA EVINGTON
Signature Title DIRECTOR 1
Signature Date 8/28/2021

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