FORM 1023-EZ for EXERCISE FOR LIFE

Field Data
EIN 85-3822663
Case Number EO-2020321-000490
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EXERCISE FOR LIFE
Organization’s Mailing Address 1827 GOSHEN AVE
City CLOVIS
State CA
ZIP 93611
Accounting period End 12
Primary contact name MARK PETERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN BOWERS
PRESIDENT
1827 GOSHEN AVE
CLOVIS CA 93611

Officer/Director/Trustee Two

MARK PETERSON
SECRETARY
1300 E SHAW AVE SUITE 149
FRESNO CA 93710

Officer/Director/Trustee Three

MATTHEW PETERSON
TREASURER
1526 CYPRESS
CLOVIS CA 93611

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical Services
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 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 MARK PETERSON
Signature Title SECRETARY
Signature Date 11/12/2020

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