FORM 1023-EZ for LIFES TOOLBOX

Field Data
EIN 47-2409338
Case Number EO-2015037-000045
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFES TOOLBOX
Organization’s Mailing Address 17541 PRESCOTT LANE
City HUNTINGTON BEACH
State CA
ZIP 92647-6427
Accounting period End 12
Primary contact name ANNETTE HATALA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANNETTE HATALA
FACILIATOR
17541 PRESCOTT LANE
HUNTINGTON BEACH CA 92647-6427

Officer/Director/Trustee Two

SALLY LESTER
CHIEF FINANCIAL OFFICER
4423 AVENIDA RIO DEL ORO
YORBA LINDA CA 92886-3008

Officer/Director/Trustee Three

NADINE DAVIS
FACILIATOR 2
5142 STALLION CIRCLE
HUNTINGTON BEACH CA 92649-3607

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P45 - Family Services, Adolescent Parents
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
Signature Title
Signature Date

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