FORM 1023-EZ for QUALITYOF LIFE INC

Field Data
EIN 81-3330208
Case Number EO-2016208-000325
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name QUALITYOF LIFE INC
Organization’s Mailing Address 4425 PORTSMOUTH BLVD
City CHESAPEAKE
State VA
ZIP 23321
Accounting period End 12
Primary contact name REGINALD DUCKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEUENE HICKMAN III
PRESIDENT
4425 PORTSMOUTH BLVD
CHESAPEAKE VA 23321

Officer/Director/Trustee Two

FELICIA FORD
SECRETARY
1318 WELLFLEET COURT
VIRGINIA BEACH VA 23464

Officer/Director/Trustee Three

SHAKA SMITH
BOARD MEMBER
31 ALEXANDER DR
HAMPTON VA 23664

Officer/Director/Trustee Four

REGINALD WHITE
BOARD MEMBER
1524 TALLEY CIRCLE
PORTSMOUTH VA 23704

Officer/Director/Trustee Five

REGINALD DUCKETT
BOARD MEMBER
1821 QUIVERS KEEP
CHESAPEAKE VA 23321

Organization’s website WWW.QUALITYOFLIFECC.COM
Organization’s email QUALITYOF LIFECC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2016
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
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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