FORM 1023-EZ for BALANCE AND LIFE MISSION INC

Field Data
EIN 47-3533171
Case Number EO-2015208-000466
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BALANCE AND LIFE MISSION INC
Organization’s Mailing Address 6200 HESTON TERRACE
City LANHAM
State MD
ZIP 20706-2398
Accounting period End 12
Primary contact name JALENE CHASE-SANDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JALENE CHASE-SANDS
FOUNDER OWNER
6200 HESTON TERRACE
LANHAM MD 20706-2398

Officer/Director/Trustee Two

SHIRLENE CHASE
CHIEF EXECUTIVE OFFICER
6200 HESTON TERRACE
LANHAM MD 20706

Officer/Director/Trustee Three

ANJANEE WILLIAMS
CHIEF EDUCATION OFFICER
5093 POPE COURT
SUITLAND MD 20706

Officer/Director/Trustee Four

VERNIE HOUGH
CHIEF ORGANIZATIONAL OFFICER
1915 ARCADIA AVE
CAPITOL HEIGHTS MD 20743

Officer/Director/Trustee Five

DORORTHY WILLIAMS
CHIEF DEVELOPMENT OFFICER
8003 RICHARD DR
FORESTVILLE MD 20747

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2015
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
Religious: Yes
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 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
Signature Title
Signature Date

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