FORM 1023-EZ for LA VIDA BUENA

Field Data
EIN 84-3247789
Case Number EO-2020006-000263
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LA VIDA BUENA
Organization’s Mailing Address 2235 SPEARFISH LN
City EMMETT
State ID
ZIP 83617
Accounting period End 12
Primary contact name DERRICK OXNAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY OXNAM
PRESIDENT
2235 SPEARFISH LN
EMMETT ID 83617

Officer/Director/Trustee Two

HEATHER BUCK
DIRECTOR
1627 VERDANT
EMMETT ID 83617

Officer/Director/Trustee Three

KARA THAYN
SECRETARY
6983 N STATE ROUTE 159
MORO IL 52067

Officer/Director/Trustee Four

LORENA STEVENS
DIRECTOR
1349 EDGEMONT
EMMETT ID 83617

Officer/Director/Trustee Five

MEAGAN GARNER
VICE PRESIDENT
1201 EDGEMONT
MIDDLETON ID 83617

Organization’s website WWW.LAVIDABUENA.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2019
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 KIMBERLY OXNAM
Signature Title PRESIDENT
Signature Date 1/2/2020

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