FORM 1023-EZ for LIFTING SPIRITS OF SENIOR CITIZENSINC

Field Data
EIN 81-1450316
Case Number EO-2016057-000100
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFTING SPIRITS OF SENIOR CITIZENSINC
Organization’s Mailing Address 84 PINE RIDGE LANE
City PELL CITY
State AL
ZIP 35125-4175
Accounting period End 12
Primary contact name IVY PATTILLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

IVY PATTILLO
PRESIDENT AND TREASURER
84 PINE RIDGE LANE
PELL CITY AL 35125-4175

Officer/Director/Trustee Two

CARL WALLACE
SENIOR VICE PRESIDENT
7025 BLACKBERRY LANE
PELL CITY AL 35128-6934

Officer/Director/Trustee Three

JEFF PATTILLO
VICE PRESIDENT
84 PINE RIDGE LANE
PELL CITY AL 35125-4175

Officer/Director/Trustee Four

ANITA CARTER
SECRETARY
802 BROKEN ANGLE DRIVE
PELL CITY AL 35128-5408

Officer/Director/Trustee Five

TINA NICHOLAS
DIRECTOR
7587 OLD SPRINGVILLE ROAD
TRUSSVILLE AL 35173-3773

Organization’s website
Organization’s email LS4SENIORS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2016
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift 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 Yes
One Third Support Gifts No
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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