FORM 1023-EZ for QLIFE CENTER INC

Field Data
EIN 85-1259402
Case Number EO-2020157-000146
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QLIFE CENTER INC
Organization’s Mailing Address 2121 PARTRIDGE PLACE
City SUFFOLK
State VA
ZIP 23433
Accounting period End 12
Primary contact name HAROLD BARNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HAROLD BARNES SR
PRESIDENT
2121 PARTRIDGE PLACE
SUFFOLK VA 23433

Officer/Director/Trustee Two

SHIRLEY GORE GORE
VICE PRESIDENT
811 N MARICOPA AVE APT 4
LOS ANGELES VA 90029

Officer/Director/Trustee Three

CURTIS BARNES
BOARD MEMBER
8824 FLOWING ASH XING
KATY TX 77494-0130

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2020
Organization Incorporation State VA
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: 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HAROLD BARNES SR
Signature Title PRESIDENT
Signature Date 6/3/2020

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