FORM 1023-EZ for 1ST & LIFE INC

Field Data
EIN 83-3553720
Case Number EO-2019112-000763
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 1ST & LIFE INC
Organization’s Mailing Address 168 W MAIN ST UNIT 33
City NEW MARKET
State MD
ZIP 21774-7503
Accounting period End 12
Primary contact name ANDREW MELE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW MELE
EXECUTIVE DIRECTOR
5732 OLD LOG CT
NEW MARKET MD 21774-6112

Officer/Director/Trustee Two

WILLIE WILLIAMS
PRESIDENT
8648 DAKOTA DR
GAITHERSBURG MD 20877-4139

Officer/Director/Trustee Three

DORNE HILL
VICE PRESIDENT
14464 LONG CHANNEL CIR
GERMANTOWN MD 20874-5417

Officer/Director/Trustee Four

CARLA CRAWFORD
TREASURER
10824 LOCKLAND RD
POTOMAC MD 20854

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/19
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 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 ANDREW MELE
Signature Title EXECUTIVE DIRECTOR
Signature Date 4/19/19

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