FORM 1023-EZ for LIFE LONG COMMUNITY WELLNESS

Field Data
EIN 83-3878201
Case Number EO-2019098-000318
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFE LONG COMMUNITY WELLNESS
Organization’s Mailing Address 2645 ARAPAHO RD UNIT 103
City GARLAND
State TX
ZIP 75044
Accounting period End 12
Primary contact name LONG HONG HA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LONG HONG HA
PRESIDENT/DIRECTOR
2645 ARAPAHO RD UNIT 103
GARLAND TX 75044

Officer/Director/Trustee Two

MARY THAO ANH LE
SECRETARY/TREASURER
2645 ARAPAHO RD UNIT 103
GARLAND TX 75044

Officer/Director/Trustee Three

BINH THANH DINH
DIRECTOR
2645 ARAPAHO RD UNIT 103
GARLAND TX 75044

Officer/Director/Trustee Four

QUAN MINH LIEU
DIRECTOR
2645 ARAPAHO RD UNIT 103
GARLAND TX 75044

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 LONG HONG HA
Signature Title PRESIDENT/DIRECTOR
Signature Date 4/5/19

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