FORM 1023-EZ for SELF INSPIRED LIFE INC

Field Data
EIN 83-3177939
Case Number EO-2019036-000366
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SELF INSPIRED LIFE INC
Organization’s Mailing Address 6089 TAZETTE DR
City OAKLEY
State CA
ZIP 94561
Accounting period End 12
Primary contact name SUE MAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUE MAY
PRESIDENT
6089 TAZETTE DR
OAKLEY CA 94561

Officer/Director/Trustee Two

CEDRIC MAY
VICE PRESIDENT
6089 TAZETTE DR
OAKLEY CA 94561

Officer/Director/Trustee Three

JOSHUA MAY
TREASURER
6089 TAZETTE DR
OAKLEY CA 94561

Officer/Director/Trustee Four

ELIJAH MAY
SECRETARY
6089 TAZETTE DR
OAKLEY CA 94561

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth 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 SUE MAY
Signature Title PRESIDENT
Signature Date 1/16/19

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