FORM 1023-EZ for SKILLS 4 LIFE INC

Field Data
EIN 37-1784793
Case Number EO-2015187-000126
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SKILLS 4 LIFE INC
Organization’s Mailing Address PO BOX 555
City ENGLEWOOD
State FL
ZIP 34295
Accounting period End 12
Primary contact name VALERIE WAGNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VALERIE WAGNER
PRESIDENT
37 S INDIANA AVE SUITE 106
ENGLEWOOD FL 34223

Officer/Director/Trustee Two

RODNEY WARREN
VICE PRESIDENT
2344 CAMBRIDGE DR
SARASOTA FL 34232

Officer/Director/Trustee Three

CATHERINE OSBORN
TREASURER
5215 ROUTE 49
MILLVILLE NJ 08332

Officer/Director/Trustee Four

MARY PEDRO
SECRETARY
4492 ROOST TERRACE
PORT CHARLOTTE FL 33981

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
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 Yes
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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