FORM 1023-EZ for LIFES CHANGES PALM BEACH COUNTY INC

Field Data
EIN 81-3845048
Case Number EO-2016266-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFES CHANGES PALM BEACH COUNTY INC
Organization’s Mailing Address 2250 PALM BEACH LAKES BLVD STE 102
City WEST PALM BEACH
State FL
ZIP 33409
Accounting period End 12
Primary contact name BETH BENVENUTI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BETH BENVENUTI
PRESIDENT / DIRECTOR
2250 PALM BEACH LAKES BLVD STE 102
WEST PALM BEACH FL 33409

Officer/Director/Trustee Two

DINO BENVENUTI
SECRETARY / DIRECTOR
2250 PALM BEACH LAKES BLVD STE 102
WEST PALM BEACH FL 33409

Officer/Director/Trustee Three

DAYNA NYSTROM
TREASURER / DIRCETOR
2250 PALM BEACH LAKES BLVD STE 102
WEST PALM BEACH FL 33409

Organization’s website
Organization’s email LIFESCHANGESFL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 Yes
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
Signature Title
Signature Date

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