FORM 1023-EZ for STARS FOR LIFE FOUNDATION INC

Field Data
EIN 81-4692872
Case Number EO-2019262-000164
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STARS FOR LIFE FOUNDATION INC
Organization’s Mailing Address 9630 BRUCEVILLE ROAD 106-145
City ELK GROVE
State CA
ZIP 95757
Accounting period End 12
Primary contact name DEBRA FELLOWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBRA FELLOWS
CEO
9630 BRUCEVILLE RD 106 145
ELK GROVE CA 95757

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/16
Organization Incorporation State CA
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: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DEBRA FELLOWS
Signature Title CEO
Signature Date 9/17/19
EIN 81-4692872
Case Number EO-2018089-000337
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STARS FOR LIFE FOUNDATION INC
Organization’s Mailing Address 9630 BRUCEVILLE ROAD 106-145
City ELK GROVE
State CA
ZIP 95757
Accounting period End 12
Primary contact name DEBRA FELLOWS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBRA FELLOWS
CEO
9630 BRUCEVILLE ROAD 106-145
ELK GROVE CA 95757

Organization’s website WWW.STARSFORLIFEFOUNDATION.ORG
Organization’s email DEBRA@STARSFORLIFEFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/16
Organization Incorporation State CA
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: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 DEBRA FELLOWS
Signature Title CEO
Signature Date 3/28/18

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