FORM 1023-EZ for INTEGRATED LIFE INC

Field Data
EIN 47-5464414
Case Number EO-2016347-000206
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INTEGRATED LIFE INC
Organization’s Mailing Address 5555 OAKBROOK PKWY SUITE 100
City NORCROSS
State GA
ZIP 30093
Accounting period End 12
Primary contact name HENRIETTA ACOLATSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HENRIETTA ACOLATSE
SECRETARY
1200 DEL MAR CLUB DRIVE
DACULA GA 30019

Officer/Director/Trustee Two

EDWIN FIFI YORKE
PRESIDENT
5555 OAKBROOK PKWY SUITE 100
NORCROSS GA 30093

Officer/Director/Trustee Three

VALERIE ABLORH QUACOO
TREASURER
5555 OAKBROOK PKWY SUITE 100
NORCROSS GA 30093

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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
Signature Title
Signature Date

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