FORM 1023-EZ for HACK YOUR LIVES

Field Data
EIN 83-1213517
Case Number EO-2018211-000150
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HACK YOUR LIVES
Organization’s Mailing Address 8 HAZEL ROAD
City BERKELEY
State CA
ZIP 94705
Accounting period End 12
Primary contact name CAMERON HOLLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVE SEKIGUCHI
PRESIDENT AND DIRECTOR
8 HAZEL ROAD
BERKELEY CA 94705

Officer/Director/Trustee Two

PATRICK GILLESPIE JR
TREASURER AND DIRECTOR
22301 GOLDENCHAIN STREET
MORENO VALLEY CA 92553

Officer/Director/Trustee Three

DAN HART
SECRETARY AND DIRECTOR
660 N 2ND STREET
SAN JOSE CA 95112

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P88 - LGBTQ Centers
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 Yes
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 STEVE SEKIGUCHI
Signature Title PRESIDENT AND DIRECTOR
Signature Date 7/26/18

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