FORM 1023-EZ for BREATH OF LIFE WELLNESS & YOGA CENTER

Field Data
EIN 85-3801888
Case Number EO-2021083-000762
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREATH OF LIFE WELLNESS & YOGA CENTER
Organization’s Mailing Address 4650 BRIGHT RD LOT 5
City CHARLOTTE
State NC
ZIP 28214
Accounting period End 12
Primary contact name LISA R COLEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA R COLEMAN
ORIGINAL MEMBER
4650 BRIGHT RD LOT 5
CHARLOTTE NC 28214

Officer/Director/Trustee Two

ANNASTASIA A HAYWOOD
ORIGINAL MEMBER
5121 BURKE AVE
COLUMBIA SC 29203

Organization’s website www.babreathoflife.org
Organization’s email babreathoflife@gmail.com
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Correctness Declaration Yes
Signature Name LISA R COLEMAN
Signature Title ORIGINAL MEMBER
Signature Date 11/16/2020

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