FORM 1023-EZ for EBLIFESTYLE INC

Field Data
EIN 85-3215371
Case Number EO-2021063-000797
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EBLIFESTYLE INC
Organization’s Mailing Address 555 EAST LIBERTY ST UNIT 306
City NORFOLK
State VA
ZIP 23523
Accounting period End 12
Primary contact name HODGES CALDWELL JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HODGES CALDWELL JR
PRESIDENT/CHAIRMAN
555 E LIBERTY ST APT 306
NORFOLK VA 23523

Officer/Director/Trustee Two

SARAH GROOME
TREASURER
213 N DONNAWOOD DR
VIRGINIA BEACH VA 23452

Officer/Director/Trustee Three

RICARDO ALFARO
VICE CHAIRMAN
15603 SW 276TH STREET
HOMESTEAD FL 33032

Officer/Director/Trustee Four

MOHAMED DUKLEF
BOARD TRUSTEE
1444 E GIRARD PL APT 225A
ENGLEWOOD CO 80113

Officer/Director/Trustee Five

MELISSA BARRIGA
VICE PRESIDENT
1614 OXFORD STREET APT 2
REDWOOD CITY CA 94061

Organization’s website http://EBLifeStyle.net
Organization’s email hrcaldwell3079@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HODGES CALDWELL JR
Signature Title PRESIDENT/CHAIRMAN
Signature Date 12/30/2020

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