FORM 1023-EZ for 805LIFE INC

Field Data
EIN 84-2722744
Case Number EO-2019246-000375
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 805LIFE INC
Organization’s Mailing Address 31320 VIA COLINAS SUITE 117
City WESTLAKE VILLAGE
State CA
ZIP 91362
Accounting period End 12
Primary contact name SERGIO GONZALEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SERGIO GONZALEZ
PRESIDENT / DIRECTOR
31320 VIA COLINAS SUITE 117
WESTLAKE VILLAGE CA 91362

Officer/Director/Trustee Two

MARISA PORTILLO
TREASURER / DIRECTOR
31320 VIA COLINAS SUITE 117
WESTLAKE VILLAGE CA 91362

Officer/Director/Trustee Three

GALEN CALLAHAN
SECRETARY / DIRECTOR
31320 VIA COLINAS SUITE 117
WESTLAKE VILLAGE CA 91362

Organization’s website
Organization’s email BECKY@SGASSOCIATESRE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 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 SERGIO GONZALEZ
Signature Title PRESIDENT / DIRECTOR
Signature Date 8/30/19

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