FORM 1023-EZ for LYFE THREE INC

Field Data
EIN 45-5413081
Case Number EO-2019035-000590
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LYFE THREE INC
Organization’s Mailing Address 115 GRANTHAM LANE
City JACKSONVILLE
State NC
ZIP 28546
Accounting period End 12
Primary contact name LAWRENCE DEAN II
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONIQUE GREEN
PRESIDENT
5826 MITCHELL GRANT WAY
CHARLOTTE NC 28213

Officer/Director/Trustee Two

FONSETTA BADGER BROWN
TREASURER
9123 JEFFERSON COURT
MANASSAS PARK WAY VA 20111

Officer/Director/Trustee Three

CHANDLER POWELL
VICE CHAIR
1703 OSCAR DRIVE
NEW BERN NC 28562

Officer/Director/Trustee Four

TOWANNA SMITH
SECRETARY
1025 WALT BELLAMY DRIVE
NEW BERN NC 28560

Officer/Director/Trustee Five

LAWRENCE DEAN II
EXECUTIVE DIRECTOR
115 GRANTHAM LANE
JACKSONVILLE NC 28546

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/12
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
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 LAWRENCE DEAN II
Signature Title EXECUTIVE DIRECTOR
Signature Date 1/10/19

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