FORM 1023-EZ for LIFE BEYOND BARS

Field Data
EIN 83-1703533
Case Number EO-2019081-000444
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFE BEYOND BARS
Organization’s Mailing Address 400 HERKIMER STREET / APT 3P
City BROOKLYN
State NY
ZIP 11213
Accounting period End 12
Primary contact name KEISHA ALLEYNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARON JOHNSON-RAYSOR
TREASUER
400 HERKIMER STREET APT 3H
BROOKLYN NY 11213

Officer/Director/Trustee Two

SERNE BRYANT
CHAIRPERSON
400 HERKIMER STREET APT 3P
BROOKLYN NY 11213

Officer/Director/Trustee Three

EDNA THOMPSON
SECRETARY
410 HALSEY STREET
BROOKLYN NY 11213

Officer/Director/Trustee Four

NICOLE LONDON
PARLIAMENTARIAN
400 HERKIMER STREET APT 3L
BROOKLYN NY 11213

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
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 SERNE BRYANT
Signature Title CHAIRPERSON
Signature Date 3/20/19

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