FORM 1023-EZ for BEAUTIFUL LIFE NON PROFIT ADULT DAY CARE SERVICES

Field Data
EIN 85-1650003
Case Number EO-2021021-000021
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BEAUTIFUL LIFE NON PROFIT ADULT DAY CARE SERVICES
Organization’s Mailing Address 33 WOODSIDE DRIVE
City WOODBRIDGE
State CT
ZIP 06525
Accounting period End 12
Primary contact name MARK KANEVSKY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK KANEVSKY
PRES
33 WOODSIDE DR
WOODBRIDGE CT 06525

Officer/Director/Trustee Two

SVETLANA RAKHMAN
TREA
2580 OCEAN PARKWAY
BROOKLYN NY 11235

Officer/Director/Trustee Three

SANDRA INZINGA
SEC
5A STONEGATE CIR
BRANFORD CT 06405

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2020
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P45 - Family Services, Adolescent Parents
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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARK KANEVSKY
Signature Title PRES
Signature Date 11/24/2020

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