FORM 1023-EZ for A WAY OF LIFE SERVICES

Field Data
EIN 86-1565343
Case Number EO-2021085-000515
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A WAY OF LIFE SERVICES
Organization’s Mailing Address 3455 HIGHLAND RD 101
City DALLAS
State TX
ZIP 75228-7193
Accounting period End 12
Primary contact name LARRYMI MATHIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LARRYMI MATHIS
OFFICER
8501 BAUMGARTEN DR
DALLAS TX 75228-7193

Officer/Director/Trustee Two

DEKEITA MATHIS
TRUSTEE
4900 PEERS RIDGE DR
DALLAS TX 75287-3113

Officer/Director/Trustee Three

LAKEISHA MATHIS
OFFICER
DIRECTOR
MESQUITE TX 75149-1615

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2021
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P73 - Group Home (Long Term)
Organization’s purpose Charitable: Yes
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 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 LARRYMI MATHIS
Signature Title OFFICER
Signature Date 2/5/2021

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