FORM 1023-EZ for LIFESTAGES 3D INCORPORATED

Field Data
EIN 84-1891878
Case Number EO-2019151-000165
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFESTAGES 3D INCORPORATED
Organization’s Mailing Address 193 COLLEGE STREET
City NORWOOD
State NC
ZIP 28128-6435
Accounting period End 12
Primary contact name ANITA OWENS-SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANITA OWENS-SCOTT
PRESIDENT
193 COLLEGE STREEET
NORWOOD NC 28128-6435

Officer/Director/Trustee Two

MATTHEW MCNEIL
VICE PRESIDENT
322 PEACH TREE STREET
ALBEMARLE NC 28001-4341

Officer/Director/Trustee Three

ROSALIND MCNEL
SECRETARY
350 PEE DEE AVE SUITE 34
ALBEMARLE NC 28001-4932

Officer/Director/Trustee Four

TAMMY ALBERTSON
BOARD MEMBER
34453 LISA DRIVE
ALBEMARLE NC 28001-8374

Officer/Director/Trustee Five

WILLIAM BALDWIN
BOARD MEMBER
1402 HERITAGE CT
ALBEMARLE NC 28001-7920

Organization’s website
Organization’s email OSCOTTA@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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 ANITA OWENS-SCOTT
Signature Title PRESIDENT
Signature Date 5/29/19

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