FORM 1023-EZ for MY SUPANATURAL LIFE INC

Field Data
EIN 85-2899278
Case Number EO-2020255-000128
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY SUPANATURAL LIFE INC
Organization’s Mailing Address 1600 TAFT AVENUE APT 511
City LOS ANGELES
State CA
ZIP 90028-3706
Accounting period End 12
Primary contact name IYANA DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IYANA DAVIS
FOUNDING DIRECTOR
1600 TAFT AVENUE APT 511
LOS ANGELES CA 90028-3706

Officer/Director/Trustee Two

EDWARD DAVIS
PRESIDENT
119-11
ST. ALBANS NY 11412-3620

Officer/Director/Trustee Three

COURTNEY ARMENTO
TREASURER
43040 30TH STREET WEST APT 146
LANCASTER CA 93536-4775

Officer/Director/Trustee Four

SANIYYAH GRIFFIN
SECRETARY
1600 TAFT AVENUE APT 511
LOS ANGELES CA 90028-3706

Officer/Director/Trustee Five

IYANNA NEWBORN
VICE PRESIDENT
1533 6TH AVE APT 3/4
LOS ANGELES CA 90019-4302

Organization’s website WWW.MYSUPANATURALLIFE.COM
Organization’s email MYSUPANATURALLIFE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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 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 IYANA DAVIS
Signature Title FOUNDING DIRECTOR
Signature Date 9/9/2020

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