FORM 1023-EZ for A WAVE OF LIFE INC

Field Data
EIN 46-5620507
Case Number EO-2020242-000197
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A WAVE OF LIFE INC
Organization’s Mailing Address 548 SANTA FLORITA AVENUE
City MILLBRAE
State CA
ZIP 94030
Accounting period End 12
Primary contact name KATHRYN DECONCINI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SEAN FLANAGAN
CHIEF EXECUTIVE OFFICER
8685 LOCH LEVON AVENUE
KINGS BEACH CA 96143

Officer/Director/Trustee Two

TARA FLANAGAN
VICE PRESIDENT
8685 LOCH LEVON AVENUE
KINGS BEACH CA 96143

Officer/Director/Trustee Three

KATHRYN DECONCINI
TREASURER
517 KATE HAYES STREET
GRASS VALLEY CA 95945

Officer/Director/Trustee Four

FIONA FLANAGAN
SECRETARY
548 SANTA FLORITA AVE
MILLBRAE CA 94030

Officer/Director/Trustee Five

CARLY GROSSMAN
DIRECTOR OF FINANCE
1333 PALOS VERDES DRIVE 207
SAN MATEO CA 94403

Organization’s website
Organization’s email AWAVEOFLIFEINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/1914
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KATHRYN DECONCINI
Signature Title TREASURER
Signature Date 8/26/2020

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