FORM 1023-EZ for FITNESS BEYOND THE EYE INC

Field Data
EIN 47-1885008
Case Number EO-2014272-000353
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FITNESS BEYOND THE EYE INC
Organization’s Mailing Address 5265 CUMBERLAND WAY
City STONE MOUNTAIN
State GA
ZIP 30087
Accounting period End 3
Primary contact name TIMOTHY ROBERTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIMOTHY ROBERTS
CEO
5265 CUMBERLAND WAY
STONE MOUNTAIN GA 30087

Officer/Director/Trustee Two

CAROL PAUL
TRUSTEE
1206 BERRY HILL DRIVE
LITHONIA GA 30058

Officer/Director/Trustee Three

ODESSA SKEETE
TRUSTEE
1335 CUTTERS MILL DRIVE
LITHONIA GA 30058

Officer/Director/Trustee Four

CAROLYN ROBERTS
TRUSTEE
871A BARNABY STREET SE
WASHINGTON DC 20032

Officer/Director/Trustee Five

FRANCHESCA LITTLEJOHN
TRUSTEE
20100 PARK ROW APT 1702
KATY TX 77449

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/2014
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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