FORM 1023-EZ for 12 TO LIFE

Field Data
EIN 47-2658468
Case Number EO-2020262-000184
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 12 TO LIFE
Organization’s Mailing Address 120 MIDLAND AVENUE
City MONTCLAIR
State NJ
ZIP 07042
Accounting period End 12
Primary contact name GRACE BOURBON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GRACE BOURBON
FOUNDER AND PRESIDENT
120 MIDLAND AVENUE
MONTCLAIR NJ 07042

Officer/Director/Trustee Two

MARCUS BOURBON
VICE PRESIDENT AND TRESURER
120 MIDLAND AVENUE
MONTCLAIR NJ 07042

Officer/Director/Trustee Three

ELAINE NARCISSE
SECRETARY
29 JAMES STREET
MONTCLAIR NJ 07042

Organization’s website WWW.12TOLIFE.ORG
Organization’s email GBOURBON@12TOLIFE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2012
Organization Incorporation State NJ
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: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 GRACE BOURBON
Signature Title FOUNDER AND PRESIDENT
Signature Date 9/16/2020

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