FORM 1023-EZ for COLLEGE LIFE FOUNDATION

Field Data
EIN 84-3511684
Case Number EO-2019304-000263
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLLEGE LIFE FOUNDATION
Organization’s Mailing Address 2814 NORTH GREEN STREET
City HARRISBURG
State PA
ZIP 17110
Accounting period End 12
Primary contact name SHAUN E OTOOLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY SMITH JR
PRESIDENT
301 POPLAR STREET
HIGHSPIRE PA 17034

Officer/Director/Trustee Two

ANTHONY SMITH SR
DIRECTOR
512 CLINTON STREET
HARRISBURG PA 17110

Officer/Director/Trustee Three

ANGELINA SMITH
DIRECTOR
512 CLINTON STREET
HARRISBURG PA 17110

Officer/Director/Trustee Four

SHAUN OTOOLE
DIRECTOR
220 PINE STREET
HARRISBURG PA 17101

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHAUN OTOOLE
Signature Title DIRECTOR
Signature Date 10/29/19

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