FORM 1023-EZ for LAYUPS 4 LIFE INC

Field Data
EIN 82-2403632
Case Number EO-2017234-000187
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAYUPS 4 LIFE INC
Organization’s Mailing Address 410 OGDEN AVE SUITE 3B
City JERSEY CITY
State NJ
ZIP 07307
Accounting period End 12
Primary contact name DANIEL EXTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL EXTER
FOUNDER / PRESIDENT
410 OGDEN AVE SUITE 3B
JERSEY CITY NJ 07307

Officer/Director/Trustee Two

DANA LEVINE
CO-FOUNDER./ VICE PRESIDENT
410 OGDEN AVE SUITE 3B
JERSEY CITY NJ 07307

Officer/Director/Trustee Three

CAROL EXTER
TREASURER
210 DRAKE LANE
LEDGEWOOD NJ 07852

Organization’s website WWW.LAYUPS4LIFE.ORG
Organization’s email DAN@LAYUPS4LIFE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/2017
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
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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