FORM 1023-EZ for PLANT BASED LIFESTYLE MOVEMENT INC
| Field | Data |
|---|---|
| EIN | 84-3307312 |
| Case Number | EO-2020210-000873 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PLANT BASED LIFESTYLE MOVEMENT INC |
| Organization’s Mailing Address | 9713 MILANO DRIVE |
| City | TRINITY |
| State | FL |
| ZIP | 34655 |
| Accounting period End | 12 |
| Primary contact name | KOUSHIK R REDDY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KOUSHIK R REDDY
PRESIDENT/TREASURER
9713 MILANO DRIVE
TRINITY FL 34655
Officer/Director/Trustee Two
MICHELE FASNACHT
VICE PRESIDENT
2801 KEYSTONE ROAD
TARPON SPRINGS FL 34688
Officer/Director/Trustee Three
KRISTEN BUTLER
SECRETARY
3333 W KENNEDY BLVD UNIT 103
TAMPA FL 33609
| Organization’s website | PBLM.ORG |
|---|---|
| Organization’s email | KOUSHIKREDDY@PBML.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/10/2020 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | KOUSHIK R REDDY |
| Signature Title | PRESIDENT/TREASURER |
| Signature Date | 7/26/2020 |
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