FORM 1023-EZ for REAL GURL LIFE

Field Data
EIN 47-4626624
Case Number EO-2016119-000422
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REAL GURL LIFE
Organization’s Mailing Address PO BOX 887
City GRESHAM
State OR
ZIP 97030
Accounting period End 12
Primary contact name PATRICIA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LAURA HOLZBACH
PRESIDENT
1574 NE 237 TH AV
WOOD VILLAGE OR 97060

Officer/Director/Trustee Two

SHELLY PATRICK
VICE PRESIDENT
679 NE 8TH ST
GRESHAM OR 97030

Officer/Director/Trustee Three

AMANDA GARCIA
SECT-TREASURER
1574 NE 237TH AV
WOOD VILLAGE OR 97060

Organization’s website
Organization’s email LAURA@REALGURLLIFE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2015
Organization Incorporation State WA
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: Yes
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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