FORM 1023-EZ for TRANSFORMING LIVES OUTREACH WITH LOVE

Field Data
EIN 81-3668947
Case Number EO-2017199-000229
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRANSFORMING LIVES OUTREACH WITH LOVE
Organization’s Mailing Address 6325 IAN CHAD DR W
City JACKSONVILLE
State FL
ZIP 32244
Accounting period End 12
Primary contact name KIMBERLY KARIEM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REGINA LITTLEJOHN
PRESIDENT
6325 IAN CHAD DR W
JACKSONVILLE FL 32244

Officer/Director/Trustee Two

KIMBERLY KARIEM
TREASURER
7717 REED
JACKSONVILLE FL 32208

Officer/Director/Trustee Three

LAVONYA WHITE
VICE PRESIDENT
7247 RHODE ISLAND DR E
JACKSONVILLE FL 32209

Officer/Director/Trustee Four

VONDA JORDAN
SECRETARY
2242 FOREST HILL RD
JACKSONVILLE FL 32208

Organization’s website WWW.MYREGENERATEDLIFE.COM
Organization’s email OWL4LIVES@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
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
Signature Title
Signature Date

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