FORM 1023-EZ for LIVING IN FULFILLED EXCELLENCE INC

Field Data
EIN 45-2584517
Case Number EO-2014276-000291
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIVING IN FULFILLED EXCELLENCE INC
Organization’s Mailing Address 322 MALL BLVD SUITE 300
City MONROEVILLE
State PA
ZIP 15146-2241
Accounting period End 12
Primary contact name ERICA WILLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERICA WILLIS
EXECUTIVE DIRECTOR
3944 MONROEVILLE BLVD D6
MONROEVILLE PA 15146-2241

Officer/Director/Trustee Two

MARY COOK
TREASURER
710 EAST 6TH STREET
ERIE PA 16507-1732

Officer/Director/Trustee Three

DARRELL COOK
SECRETARY
7934 LOWBER AVE - 2ND FLOOR
PHILADELPHIA PA 19150-3128

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/2011
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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