FORM 1023-EZ for OMNI LIFE INC

Field Data
EIN 82-3809760
Case Number EO-2018141-000480
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OMNI LIFE INC
Organization’s Mailing Address 4554 N 85TH ST
City MILWAUKEE
State WI
ZIP 53225-5110
Accounting period End 12
Primary contact name IMON WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IMON WILLIAMS
OWNER
4554 N 85TH ST
MILWAUKEE WI 53225-5110

Organization’s website
Organization’s email 01OMNILIFE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/29/17
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
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 IMON WILLIAMS
Signature Title OWNER
Signature Date 5/17/18

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