FORM 1023-EZ for QUALITY OF LIFE INITIATIVE

Field Data
EIN 83-2424008
Case Number EO-2018318-000168
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name QUALITY OF LIFE INITIATIVE
Organization’s Mailing Address 27854 MEADOWBROOK
City LIVONIA
State MI
ZIP 48154
Accounting period End 12
Primary contact name DIANE WEBB-SPIELMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANE WEBB-SPIELMAN
PRESIDENT
27854 MEADOWBROOKE
LIVONIA MI 48154

Officer/Director/Trustee Two

MADELEINE DECHY
SECRETARY
15536 GAYLORD
REDFORD MI 48239

Officer/Director/Trustee Three

CHERYL WOJCIECHOWSKI
TREASURER
26918 GOLFVIEW
DEARBORN HEIGHTS MI 48127

Officer/Director/Trustee Four

JENNIFER MANSFIELD
OFFICER
16272 RYLAND
REDFORD MI 48240

Officer/Director/Trustee Five

ANGELA WOLF
OFFICER
20452 SUMNER
REDFORD MI 48240

Organization’s website
Organization’s email DIANEW1965@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 DIANE WEBB-SPIELMAN
Signature Title PRESIDENT
Signature Date 11/6/18

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