FORM 1023-EZ for LIFESTYLE ADVANCE INC

Field Data
EIN 38-3913968
Case Number EO-2019030-000840
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFESTYLE ADVANCE INC
Organization’s Mailing Address 821 9TH AVENUE S
City KIRKLAND
State WA
ZIP 98033
Accounting period End 12
Primary contact name JEFF DICKINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF DICKINSON
PRESIDENT
821 9TH AVE S
KIRKLAND WA 98033

Officer/Director/Trustee Two

CURT TIEDEMAN
VICE PRESIDENT
23790 SE 243RD ST
MAPLE VALLEY WA 98038

Organization’s website WWW.LIFESTYLEADVANCE.ORG
Organization’s email JEFF@LIFESTYLEADVANCEBENEFITS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/13
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
Organization’s purpose Charitable: No
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 JEFF DICKINSON
Signature Title PRESIDENT
Signature Date 12/27/18

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