FORM 1023-EZ for QUALITY OF LIFE REHAB AND FOSTER INC

Field Data
EIN 83-4578014
Case Number EO-2019200-000432
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUALITY OF LIFE REHAB AND FOSTER INC
Organization’s Mailing Address 1704 NW 35TH ST
City OCALA
State FL
ZIP 34475-4213
Accounting period End 12
Primary contact name ASPEN OLMSTEAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASPEN OLMSTEAD
PRESIDENT/DIRECTOR
1704 NW 35TH ST
OCALA FL 34475-4213

Officer/Director/Trustee Two

AMBRIA OLMSTEAD
VICE PRESIDENT/TREASURER
965 NE 2ND ST UNIT 5
OCALA FL 34470

Officer/Director/Trustee Three

BRYAN CORBITT
CHAIRPERSON/BOARD MEMBER
1704 NW 35TH ST
OCALA FL 34475-4213

Officer/Director/Trustee Four

ANGELA CURRY
SECRETARY/BOARD MEMBER
1500 1/2 MAIN STREET
OAK HILL WV 25901

Officer/Director/Trustee Five

HALEY KIRK
BOARD MEMBER
1415 ARTHUR MINNIS RD
HILLSBOROUGH NC 27278

Organization’s website WWW.QUALITYOFLIFEREHAB.COM
Organization’s email QUALITYOFLIFEREHAB@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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 ASPEN OLMSTEAD
Signature Title PRESIDENT/DIRECTOR
Signature Date 7/17/19

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