FORM 1023-EZ for 4 LIFE MENTAL HEALTH AND WELLNESS COMMUNITY OUTREACH
| Field | Data |
|---|---|
| EIN | 85-1984971 |
| Case Number | EO-2020225-000231 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | 4 LIFE MENTAL HEALTH AND WELLNESS COMMUNITY OUTREACH |
| Organization’s Mailing Address | 3530 E FLAMINGO SUITE 140 |
| City | LAS VEGAS |
| State | NV |
| ZIP | 89121 |
| Accounting period End | 12 |
| Primary contact name | BEVERLEY SENIOR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BEVERLEY SENIOR
CEO
1711 RAWHIDE STREET
LAS VEGAS NV 89119
Officer/Director/Trustee Two
DORIS LYNN JOHNSON
VICE PRESIDENT
5486 VILLA LUCIA CT
LAS VEGAS NV 89146
| Organization’s website | |
|---|---|
| Organization’s email | 4LIFEMENTALHEALTH.WELLNESS@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/15/2020 |
| Organization Incorporation State | NV |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E32 - Ambulatory Health Center, Community Clinic |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: Yes 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 | Yes |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | Yes |
| Gaming Activity | No |
| Disaster relief assistance | Yes |
| One Third Support Public | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | BEVERLEY SENIOR |
| Signature Title | CEO |
| Signature Date | 8/10/2020 |
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