FORM 1023-EZ for BETTER LIFE FOUNDATION

Field Data
EIN 82-2917567
Case Number EO-2017272-000311
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BETTER LIFE FOUNDATION
Organization’s Mailing Address 516 SOUTH EMERSON STREET
City MOUNT PROSPECT
State IL
ZIP 60056
Accounting period End 12
Primary contact name MAGGIE PAWELKO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTYNA WIECH
DIRECTOR
1780 SUSSEX WALK
HOFFMAN ESTATES IL 60169

Officer/Director/Trustee Two

ERIC BABICH
DIRECTOR
107 WEST EUCLID
MOUNT PROSPECT IL 60056

Officer/Director/Trustee Three

PETER PAWELKO
DIRECTOR
516 SOUTH EMERSON STREET
MOUNT PROSPECT IL 60056

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social 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 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
Signature Title
Signature Date

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