FORM 1023-EZ for BEAUTIFUL LIFE INC

Field Data
EIN 61-1990026
Case Number EO-2021127-000354
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BEAUTIFUL LIFE INC
Organization’s Mailing Address 1264 MOON VISION ST
City HENDERSON
State NV
ZIP 89052-4007
Accounting period End 12
Primary contact name CONNIE HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CONNIE HARRIS
DIRECTOR
1264 MOON VISION ST
HENDERSON NV 89052-4007

Officer/Director/Trustee Two

EUGENE HARRIS III
TRUSTEE
1264 MOON VISION ST
HENDERSON NV 89052-4007

Officer/Director/Trustee Three

KIMBERLY NOLAN
TRUSTEE
1770 N GREEN VALLEY PKWY APT 4021
HENDERSON NV 89074-5839

Officer/Director/Trustee Four

ROSEMARIE ONG
TRUSTEE
9113 DOANE AVE
LAS VEGAS NV 89143

Organization’s website BEAUTIFUL LIFE
Organization’s email BEAUTIFULLIFEADC@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/2021
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
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 CONNIE HARRIS
Signature Title DIRECTOR
Signature Date 5/5/2021

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