FORM 1023-EZ for LIFEKIT

Field Data
EIN 81-2294153
Case Number EO-2016295-000208
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFEKIT
Organization’s Mailing Address 546 WEST COLORADO ST UNIT 509
City GLENDALE
State CA
ZIP 91204
Accounting period End 12
Primary contact name NAUSHEEN SHAIKH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSALYN LASBEUR
DIRECTOR, CHAIRMAN AND PRESIDENT
111 WEST 7TH ST UNIT 411
LOS ANGELES CA 90014

Officer/Director/Trustee Two

KIRAN WALI
DIRECTOR, CFO AND SECRETARY
546 WEST COLORADO ST UNIT 509
GLENDALE CA 91204

Organization’s website
Organization’s email LIFEKITLA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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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