FORM 1023-EZ for NEW LIFE CHIROPRACTIC

Field Data
EIN 61-1802424
Case Number EO-2017068-000313
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW LIFE CHIROPRACTIC
Organization’s Mailing Address 2425 CAMINO DEL RIO SOUTH UNIT 100
City SAN DIEGO
State CA
ZIP 92108
Accounting period End 12
Primary contact name DEVIN YOUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEVIN YOUNG
PRESIDENT
5783 VINLEY PLACE
SAN DIEGO CA 92120

Officer/Director/Trustee Two

JEANETT TAPIA
SECRETARY AND TREASURER
5783 VINLEY PLACE
SAN DIEGO CA 92120

Officer/Director/Trustee Three

DAN PURCELL
DIRECTOR
2012 WALNUT BLVD
WALNUT CREEK CA 94597

Officer/Director/Trustee Four

DOUG NAPP
DIRECTOR
2255 WARM SPRINGS LANE
TEMPLETON CA 93465

Officer/Director/Trustee Five

JOSHUA BONICCI
DIRECTOR
4057 BRANT STREET UNIT 5
SAN DIEGO CA 92135

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical 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 Yes
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
Signature Title
Signature Date

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