FORM 1023-EZ for ITS MY LIFE

Field Data
EIN 81-1437042
Case Number EO-2016172-000222
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ITS MY LIFE
Organization’s Mailing Address 1727 MESA VERDE SUITE 120
City VENTURA
State CA
ZIP 93003-6567
Accounting period End 12
Primary contact name JAMES FRASER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEVE ANTEBI
DIRECTOR
17984 BORIS DRIVE
ENCINO CA 91316-4347

Officer/Director/Trustee Two

PAUL BELGUM
DIRECTOR
1303 SAY ROAD
SANTA PAULA CA 93060-1423

Officer/Director/Trustee Three

SHARON GREEN
DIRECTOR
5750 VIA REAL UNIT 264
CARPINTERIA CA 93013-2616

Officer/Director/Trustee Four

JAMES FRASER
PRESIDENT/CEO
1255 WOODLAND DRIVE
SANTA PAULA CA 93060-1262

Officer/Director/Trustee Five

BRIAN JARAMILLO
TREASURER/CEO AND SECRETARY
779 LIVINGSTON AVENUE
VENTURA CA 93003-0414

Organization’s website WWW.ITSMYLIFEPROGRAM.COM
Organization’s email CHIPZIP47@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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
Signature Title
Signature Date

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