FORM 1023-EZ for QUALITY LIFE CENTER INC

Field Data
EIN 66-0827148
Case Number EO-2014254-000605
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name QUALITY LIFE CENTER INC
Organization’s Mailing Address 511 14 STREET NE
City NAPLES
State FL
ZIP 34120
Accounting period End 12
Primary contact name JANICE CORNELIUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JANICE CORNELIUS
PRESIDENT
511 14TH STREET NE
NAPLES FL 34120

Officer/Director/Trustee Two

LINDA BURTON
VICE PRESIDENT
511 14TH STREET NE
NAPLES FL 34120

Officer/Director/Trustee Three

MELVA MORTON
SECRETARY
511 14TH STREET NE
NAPLES FL 34120

Officer/Director/Trustee Four

GOVAN ROACH
TREASURER
511 14TH STREET NE
NAPLES FL 34120

Officer/Director/Trustee Five

RUPERT SAGE
DIRECTOR
511 14TH STREET NE
NAPLES FL 34120

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2014
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: Yes
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
Signature Title
Signature Date

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