FORM 1023-EZ for TEMPLE LIFESTYLE

Field Data
EIN 83-2245676
Case Number EO-2018295-000118
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEMPLE LIFESTYLE
Organization’s Mailing Address 9721 SOUTH 212 STREET
City KENT
State WA
ZIP 98031
Accounting period End 12
Primary contact name SANITHIA PARKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANITHIA PARKER
EXECUTIVE DIRECTOR
9721 SOUTH 212 STREET
KENT WA 98031

Officer/Director/Trustee Two

LAKESHA GATES
PRESIDENT
20357 105TH CT SE
KENT WA 98031

Officer/Director/Trustee Three

THOMAS JAMES
TREASURER
15413 141ST PL SE
RENTON WA 98058

Officer/Director/Trustee Four

SHANITA MARR
SECRETARY
10117 BEACON AVENUE SOUTH
RENTON WA 98178

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/18
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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 SANITHIA PARKER
Signature Title EXECUTIVE DIRECTOR
Signature Date 10/18/18

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