FORM 1023-EZ for BLESSING FOR LIFE INC

Field Data
EIN 36-4859438
Case Number EO-2017101-000090
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLESSING FOR LIFE INC
Organization’s Mailing Address 23010 S 201ST ST
City QUEEN CREEK
State AZ
ZIP 85142-6268
Accounting period End 12
Primary contact name QUINCY JOY ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

QUINCY JOY ANDERSON
DIRECTOR/PRESIDENT
23010 S 201 ST
QUEEN CREEK AZ 85142-6268

Officer/Director/Trustee Two

DUSTIN ANDERSON
DIRECTOR/SEC./TREASURER
23010 S 201 ST
QUEEN CREEK AZ 85142-6268

Organization’s website
Organization’s email QUINCYJOYANDERSON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2016
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 Yes
Conducting Activities Outside of United States Yes
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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