FORM 1023-EZ for FISH FOR LIFE INC

Field Data
EIN 83-3309259
Case Number EO-2019038-000058
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FISH FOR LIFE INC
Organization’s Mailing Address 42 CALLE AMENO
City SAN CLEMENTE
State CA
ZIP 92672
Accounting period End 12
Primary contact name JAMES HOLDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES HOLDEN
DIRECTOR AND CEO
42 CALLE AMENO
SAN CLEMENTE CA 92672

Officer/Director/Trustee Two

BRIAN CAUGHLIN
SECRETARY
156 CALLE CUERVO
SAN CLEMENTE CA 92672

Officer/Director/Trustee Three

DAVID SHAHOIAN
CFO
33831 ROBLES DRIVE
DANA POINT CA 92629

Officer/Director/Trustee Four

KYLE PACEK
DIRECTOR
615 EAST MAGNOLIA BLVD SUITE F
BURBANK CA 91501

Officer/Director/Trustee Five

JORDAN CHANTEL
DIRECTOR
615 EAST MAGNOLIA BLVD
BURBANK CA 91501

Organization’s website WWW.FISHFORLIFE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 Yes
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 JAMES HOLDEN
Signature Title DIRECTOR AND CEO
Signature Date 1/30/19

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