FORM 1023-EZ for FIT4LIFE SPORTS FOUNDATION

Field Data
EIN 82-5031267
Case Number EO-2018113-000594
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIT4LIFE SPORTS FOUNDATION
Organization’s Mailing Address 5800 ROYAL RIDGE DR UNIT D
City SPRINGFIELD
State VA
ZIP 22152
Accounting period End 12
Primary contact name FABIEN LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FABIEN LEWIS
PRESIDENT
5800 ROYAL RIDGE DR UNIT D
SPRINGFIELD VA 22152

Officer/Director/Trustee Two

RUDO THORNE
SECRETARY
7320 OLIVER STREET
LANHAM MD 20706

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/18
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 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 FABIEN LEWIS
Signature Title PRESIDENT
Signature Date 4/20/18

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