FORM 1023-EZ for PROVISIONS FOR LIFE INC
| Field | Data |
|---|---|
| EIN | 84-3250409 |
| Case Number | EO-2019280-000142 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PROVISIONS FOR LIFE INC |
| Organization’s Mailing Address | 5115 MINTVALE DRIVE |
| City | CHARLOTTE |
| State | NC |
| ZIP | 28269 |
| Accounting period End | 12 |
| Primary contact name | SHIRICKA L FAIR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SHIRICKA FAIR
EXECUTIVE DIRECTOR
5115 MINTVALE DRIVE
CHARLOTTE NC 28269
Officer/Director/Trustee Two
STEVEN FAIR
PRESIDENT
304 EAST STEVENS DRIVE
KERSHAW SC 29067
Officer/Director/Trustee Three
ALEX FAIR
VICE PRESIDENT
304 EAST STEVENS DRIVE
KERSHAW SC 29067
Officer/Director/Trustee Four
STESHA LEWIS
SECRETARY
610 STONEBURY CIRCLE
COLUMBIA SC 29016
Officer/Director/Trustee Five
ARLENE FAIR
SECRETARY
304
KERSHAW SC 29067
| Organization’s website | |
|---|---|
| Organization’s email | DRSLFAIR@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/3/19 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P01 - Alliance/Advocacy Organizations |
| 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 | 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 | SHIRICKA FAIR |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 10/3/19 |
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