FORM 1023-EZ for REP4LIFE INC

Field Data
EIN 47-5674426
Case Number EO-2016006-000230
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REP4LIFE INC
Organization’s Mailing Address 3256 WEST LAKE MARY BLVD SUITE 1100
City LAKE MARY
State FL
ZIP 32746-3588
Accounting period End 12
Primary contact name EDNA SHEFFLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALEXANDER FRASER
PRESIDENT
3256 WEST LAKE MARY BLVD SUITE 1100
LAKE MARY FL 32746-3588

Officer/Director/Trustee Two

LINDA FRASER
SECRETARY
3256 WEST LAKE MARY BLVD SUITE 1100
LAKE MARY FL 32746-3588

Officer/Director/Trustee Three

MAX FRASER
TREASURER
3256 WEST LAKE MARY BLVD SUITE 1100
LAKE MARY FL 32746-3588

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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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