FORM 1023-EZ for LIVE LEARN SHINE INC

Field Data
EIN 84-1740302
Case Number EO-2021246-000205
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVE LEARN SHINE INC
Organization’s Mailing Address 4901 SHELBURNE CT
City JEFFERSON
State MD
ZIP 21755
Accounting period End 3
Primary contact name ZACH PIERCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZACH PIERCE
DIRECTOR
4901 SHELBURNE CT
JEFFERSON MD 21755

Officer/Director/Trustee Two

SHANNON SKELLCHOCK
DIRECTOR
1182 ZACATA ROAD
MONTROSS VA 22520

Officer/Director/Trustee Three

NICHOLAS PHAM
DIRECTOR
8517 SILVERDALE RD
LORTON VA 22079

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2019
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ZACH PIERCE
Signature Title DIRECTOR
Signature Date 9/1/2021

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