FORM 1023-EZ for WORK FOR LIFE INC

Field Data
EIN 84-2542586
Case Number EO-2019214-000284
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WORK FOR LIFE INC
Organization’s Mailing Address 12207 TALLOWTREE CT
City INDIANAPOLIS
State IN
ZIP 46236
Accounting period End 12
Primary contact name RODERICK KELLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RODERICK KELLEY
PRESIDENT
12207 TALLOWTREE CT
INDIANAPOLIS IN 46236

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/19
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
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 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 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 RODERICK KELLEY
Signature Title PRESIDENT
Signature Date 7/31/19

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