FORM 1023-EZ for TOTAL LIFE CHANGES HEALTH & WELLNESS INC

Field Data
EIN 47-4736400
Case Number EO-2020006-000419
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TOTAL LIFE CHANGES HEALTH & WELLNESS INC
Organization’s Mailing Address 6019 N HIL MAR CIRCLE
City FORESTVILLE
State MD
ZIP 20747
Accounting period End 12
Primary contact name PAUL CARR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL CARR
CHIEF EXECUTIVE OFFICER
6019 N HIL MAR CIRCLE
FORESTVILLE MD 20747

Officer/Director/Trustee Two

MAUREEN THOMPSON
SECRETARY
2519 ROSSLYN AVE
DISTRICT HEIGHTS MD 20747

Officer/Director/Trustee Three

JERMAINE FOREMAN
CHIEF FINANCIAL OFFICER
3044 BELLAMY WAY
SUITLAND MD 20746

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2015
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAUL CARR
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 1/2/2020
EIN 47-4736400
Case Number EO-2015309-000061
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TOTAL LIFE CHANGES HEALTH WELLNESSINC
Organization’s Mailing Address 6019 NORTH HIL MAR CIRLCE
City FORESTVILLE
State MD
ZIP 20747
Accounting period End 12
Primary contact name PAUL J CARR JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL CARR
CHIEF EXECUTIVE OFFICER
6019 NORTH HIL MAR CIRCLE
FORESTVILLE MD 20747

Officer/Director/Trustee Two

MAUREEN THOMPSON
SECRETARY
2519 ROSSLYN AVE
DISTRICT HEIGHTS MD 20747

Officer/Director/Trustee Three

JERMAINE FOREMAN
CHIEF FINANCIAL OFFICER
3044 BELLAMY WAY
SUTILAND MD 20746

Officer/Director/Trustee Four

DAVID CHERRY
DIRECTOR OF COMMUNICATIONS
6019 NORTH HIL MAR CIRCLE
FORESTVILLE MD 20747

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2015
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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
Signature Title
Signature Date

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