FORM 1023-EZ for LOVE BREATHE LIVE

Field Data
EIN 85-1558254
Case Number EO-2021193-001105
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOVE BREATHE LIVE
Organization’s Mailing Address 210 CONTINENTE AVE
City BRENTWOOD
State CA
ZIP 94513
Accounting period End 12
Primary contact name TIFFANY MARIE RICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELSEY SLEEK
DIRECTOR
76 TOLEDO WAY
SAN FRANCISCO CA 94321

Officer/Director/Trustee Two

CATYA KURBAN
DIRECTOR
58 N BORDER RD
WINCHESTER MA 01890

Officer/Director/Trustee Three

TIFFANY RICH
DIRECTOR
210 CONTINENTE AVENUE
BRENTWOOD CA 94513

Organization’s website WWW.LOVEBREATHELIVE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
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 TIFFANY RICH
Signature Title DIRECTOR
Signature Date 7/10/2021

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