FORM 1023-EZ for REAL LIFE

Field Data
EIN 37-1797980
Case Number EO-2016102-000140
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REAL LIFE
Organization’s Mailing Address 14406 WOODLEIGH DR
City CHESTER
State VA
ZIP 23831
Accounting period End 12
Primary contact name SARAH SCARBROUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TIMOTHY GREEN
CHAIR/SECRETARY/DIRECTOR
14406 WOODLEIGH DR
CHESTER VA 23831

Officer/Director/Trustee Two

JESSE BURKETT-HALL
DIRECTOR
140 HUYSHOPE AVE APT-510
HARTFORD CT 06106

Officer/Director/Trustee Three

WAYNE HUGGINS
TREASURER/DIRECTOR
4330 VICENZO DR
MOSELEY VA 23120

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
Organization’s purpose Charitable: Yes
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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