FORM 1023-EZ for LIVE 4 MTM

Field Data
EIN 47-1849199
Case Number EO-2014265-000242
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIVE 4 MTM
Organization’s Mailing Address 2382 N LEMON AVE SUITE 208
City WALNUT
State CA
ZIP 91789
Accounting period End 12
Primary contact name GLENN M NAKATANI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LINDSAY MIYAMOTO
DIRETOR
2382 N LEMON AVE SUITE 208
WALNUT CA 91789

Officer/Director/Trustee Two

SUSIE KOZONO
DIRECTOR
19739 E COUNTRY HOLLOW DR
WALNUT CA 91789

Officer/Director/Trustee Three

GUY KATO
DIRECTOR
17567 CANDELA DRIVE
ROWLAND HEIGHTS CA 91748

Officer/Director/Trustee Four

URIEL JIMENEZ
DIRECTOR
1532 S ST MAIO STREET
WEST COVINA CA 91790

Officer/Director/Trustee Five

EDDIE DOMINGUEZ
DIRECTOR
630 GALLOPING COLT CIRCLE
WALNUT CA 91789

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - 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
Signature Title
Signature Date

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