FORM 1023-EZ for LIFETIME INCOME INC

Field Data
EIN 83-2755544
Case Number EO-2019070-000171
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFETIME INCOME INC
Organization’s Mailing Address 5869 JARVIS AVE
City NEWARK
State CA
ZIP 94560
Accounting period End 12
Primary contact name ALINA MUKHOPADYAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANYA SAEEDI
CEO
5869 JARVIS AVE
NEWARK CA 94560

Officer/Director/Trustee Two

ALINA MUKHOPADYAY
SECRETARY
3965 CRYSTAL DOWNS COURT
ROSEVILLE CA 95747

Officer/Director/Trustee Three

SAHIL TANDON
TREASURER
2567 PLUMLEIGH DR
FREMONT CA 94539

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
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 ALINA MUKHOPADYAY
Signature Title SECRETARY
Signature Date 3/8/19

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