FORM 1023-EZ for MY LYFE MATTERS

Field Data
EIN 82-5304876
Case Number EO-2018141-000640
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY LYFE MATTERS
Organization’s Mailing Address 1649 ROCKAWAY PARKWAY 2
City BROOKLYN
State NY
ZIP 11236
Accounting period End 12
Primary contact name DOROTHY HAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOROTHY HAM
FOUNDER AND EXECUTIVE OFFICER
1649 ROCKAWAY PARKWAY 2
BROOKLYN NY 11236

Officer/Director/Trustee Two

ANGELA MCCLEESE
VICE PRESIDENT
1649 ROCKAWAY PARKWAY 1
BROOKLYN NY 11236

Officer/Director/Trustee Three

DEANDRA HARRIS
SECRETARY
4014 CARPENTER AVENUE 4B
BRONX NY 10466

Officer/Director/Trustee Four

MICHAEL AHENKORA
TREASURER
4210 BRUNER AVENUE
BRONX NY 10466

Organization’s website
Organization’s email MYLYFEMATTERS@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/17
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O01 - 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 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 DOROTHY HAM
Signature Title FOUNDER AND EXECUTIVE OFFICER
Signature Date 5/18/18

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