FORM 1023-EZ for LIVING WELL 4 LIFE FOUNDATION

Field Data
EIN 85-2136352
Case Number EO-2020210-000404
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVING WELL 4 LIFE FOUNDATION
Organization’s Mailing Address 211 TUTTLE AVENUE
City HAMILTON
State NJ
ZIP 08629
Accounting period End 12
Primary contact name HENRY KECULAH JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REKISHIA MCMILLAN
EXECUTIVE DIRECTOR
211 TUTTLE AVENUE
HAMILTON NJ 08629

Officer/Director/Trustee Two

DOROTHY MAYFIELD
SECRETARY
25 EASY DR
OAK RIDGE NJ 07849

Officer/Director/Trustee Three

SONIA ALLEN
TREASURER
29 WASHINGTON AVE APT F7
HARBOR CITY NJ 07008

Organization’s website HTTP://WWW.LW4LNOW.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2020
Organization Incorporation State NJ
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 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 REKISHIA MCMILLAN
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/23/2020

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