FORM 1023-EZ for EYES UP FOR LIFE INC

Field Data
EIN 83-1129847
Case Number EO-2018344-000450
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EYES UP FOR LIFE INC
Organization’s Mailing Address 5207 PARVIEW DR S
City CHARLOTTE
State NC
ZIP 28226
Accounting period End 12
Primary contact name KEVIN DALLAIRD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN DALLAIRD
PRESIDENT
5207 PARVIEW DR S
CHARLOTTE NC 28226

Officer/Director/Trustee Two

WHITNEY DALLAIRD
SECRETARY
5207 PARVIEW DR S
CHARLOTTE NC 28226

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/18/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 Yes
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 KEVIN DALLAIRD
Signature Title PRESIDENT
Signature Date 12/7/18

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