FORM 1023-EZ for COMMUNITY LIFE CENTER OF MIRAMAR INC

Field Data
EIN 82-3313451
Case Number EO-2018080-000206
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMUNITY LIFE CENTER OF MIRAMAR INC
Organization’s Mailing Address 11902 MIRAMAR PARKWAY
City MIRAMAR
State FL
ZIP 33025-7005
Accounting period End 12
Primary contact name CAL ROBERTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAL ROBERTS
PRESIDENT
11970 SW 29 STREET
MIRAMAR FL 33025-7005

Officer/Director/Trustee Two

RENEE ROBERTS
VICE PRESIDENT
11970 SW 29 STREET
MIRAMAR FL 33025-7005

Officer/Director/Trustee Three

WENDY SMITH
DIRECTOR
42 SW 11 STREET
DANIA BEACH FL 33004-4325

Officer/Director/Trustee Four

ROBERT INGS
DIRECTOR
2439 CENTERGATE DRIVE
MIRAMAR FL 33025-7005

Officer/Director/Trustee Five

BRYAN ROBERTS
SECRETARY/TREASURER
11970 SW 29 STREET
MIRAMAR FL 33025-7005

Organization’s website
Organization’s email LIFECENTEROFMIRAMAR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/17
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CAL ROBERTS
Signature Title PRESIDENT
Signature Date 3/19/18

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