FORM 1023-EZ for DESIGN YOURSELF FITNESS INC

Field Data
EIN 35-2545762
Case Number EO-2015365-000194
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DESIGN YOURSELF FITNESS INC
Organization’s Mailing Address 1970 STONE FOREST DRIVE
City LAWRENCEVILLE
State GA
ZIP 30043
Accounting period End 12
Primary contact name TIMOTHY HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIMOTHY HILL
PRESIDENT
1970 STONE FOREST DRIVE
LAWRENCEVILLE GA 30043

Officer/Director/Trustee Two

CARLA ALEXANDER
VICE PRESIDENT
1970 STONE FOREST DRIVE
LAWRENCEVILLE GA 30043

Officer/Director/Trustee Three

VAUGHN HILL
SECRETARY
1065 SEABOARD AVE APT 19
ATLANTA GA 30307

Organization’s website WWW.DYFITNESS.ORG
Organization’s email DYFNOW@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
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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