FORM 1023-EZ for BUILDING POSITIVE LIFESTYLES
| Field | Data |
|---|---|
| EIN | 83-0602706 |
| Case Number | EO-2019036-000696 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BUILDING POSITIVE LIFESTYLES |
| Organization’s Mailing Address | 3960 HOWARD HUGHES PKWY SUITE 500 |
| City | LAS VEGAS |
| State | NV |
| ZIP | 89169 |
| Accounting period End | 12 |
| Primary contact name | OPHELIA SIMMONS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
OPHELIA SIMMONS-URQUHART
PRESIDENT
1118 BETTY LANE
LAS VEGAS NV 89110
Officer/Director/Trustee Two
CHARLOTTE HILL
SECRETARY
3650 NORTH RANCHO DRIVE STE 104
LAS VEGAS NV 89130
Officer/Director/Trustee Three
ELLEN TINNEY
TREASURER
3650 NORTH RANCHO DRIVE STE 104
LAS VEGAS NV 89130
Officer/Director/Trustee Four
PHILLIP BURRELL III
DIRECTOR
1118 BETTY LANE
LAS VEGAS NV 89110
Officer/Director/Trustee Five
AVIS DILLON
DIRECTOR
1588 KIWI LANE
LAS VEGAS NV 89123
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/30/18 |
| Organization Incorporation State | NV |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P80 - Services to Promote the Independence of Specific Populations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No 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 | Yes |
| 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 | PHILLIP BURRELL III |
| Signature Title | DIRECTOR |
| Signature Date | 1/20/19 |
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