FORM 1023-EZ for SHAKE TO LIFE CENTER
| Field | Data |
|---|---|
| EIN | 81-1650641 |
| Case Number | EO-2020139-000410 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SHAKE TO LIFE CENTER |
| Organization’s Mailing Address | 27823 SUNRISE LANE |
| City | CANYON COUNTRY |
| State | CA |
| ZIP | 91351 |
| Accounting period End | 12 |
| Primary contact name | SYREETA BROWN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SYREETA BROWN
PRESIDENT/CEO
27823 SUNRISE LANE
CANYON COUNTRY CA 91351
Officer/Director/Trustee Two
VICTORIA ROBERSON
VICE PRESIDENT
16416 PALOMINO PLACE APT 204
CANYON COUNTRY CA 91387
Officer/Director/Trustee Three
PORSCHE JONES
SECRETARY
23540 WILEY CANYON RD APT 112
VALENCIA CA 91355
Officer/Director/Trustee Four
LAMONT ROBERSON
TREASURER
28020 EDDIE LANE
SANTA CLARITA CA 91350
Officer/Director/Trustee Five
RANDY DOMINGUEZ
BOARD MEMBER
BISCAYNE VILLAGE MILE 24 1-2
BELIZE CA 00000
| Organization’s website | |
|---|---|
| Organization’s email | SYREETABROWN@ROCKETMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/23/2020 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A90 - Arts Service Organizations and Activities |
| 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 | 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 | SYREETA BROWN |
| Signature Title | PRESIDENT/CEO |
| Signature Date | 5/15/2020 |
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