FORM 1023-EZ for CHOOSE LOVE FOR LIFE INC

Field Data
EIN 82-0857566
Case Number EO-2017121-000271
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHOOSE LOVE FOR LIFE INC
Organization’s Mailing Address 20 WENDELL STREET 19E
City HEMPSTEAD
State NY
ZIP 11550
Accounting period End 12
Primary contact name CHERIE DORTCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERIE DORTCH
PRESIDENT
20 WENDELL STREET 19E
HEMPSTEAD NY 11550

Officer/Director/Trustee Two

OMAR WALDEN
VICE PRESIDENT
20 WENDELL STREET 19E
HEMPSTEAD NY 11550

Officer/Director/Trustee Three

SAMANTHA JOHNSON
SECRETARY
20 WENDELL STREET 19E
HEMPSTEAD NY 11550

Officer/Director/Trustee Four

DANITA OMEIR-WRIGHT
DIRECTOR
20 WILSON PLACE
FREEPORT NY 11520

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2017
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 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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