FORM 1023-EZ for GOOD LIFE CHOICES CONSULTING

Field Data
EIN 81-5193636
Case Number EO-2017041-000230
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GOOD LIFE CHOICES CONSULTING
Organization’s Mailing Address 4717 2ND PLACE NE
City TUSCALOOSA
State AL
ZIP 35404-2823
Accounting period End 12
Primary contact name CARL HYATT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL HYATT
EXECUTIVE DIRECTOR
4717 2ND PLACE NE
TUSCALOOSA AL 35404-2823

Officer/Director/Trustee Two

TRACY DENT-RIVERS
DIRECTOR
15768 THOMAS CHAPEL RD
COTTONDALE AL 35453

Officer/Director/Trustee Three

TRAVIS BOSTIC
DIRECTOR
22166 US HWY 11
EUTAW AL 35462

Officer/Director/Trustee Four

BRENDA CRAIN
DIRECTOR
9453 EARL FIELDS CIR
NORTHPORT AL 35473

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/18/2016
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I40 - Rehabilitation Services for Offenders
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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