FORM 1023-EZ for P5 LYFE INC

Field Data
EIN 82-1070703
Case Number EO-2018089-000328
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name P5 LYFE INC
Organization’s Mailing Address 6641 PINNOCHIO DR
City JACKSONVILLE
State FL
ZIP 32210
Accounting period End 12
Primary contact name NANDI PATTERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DASHAWN PATTERSON
PRESIDENT
6641 PINNOCHIO DR
JACKSONVILLE FL 32210

Officer/Director/Trustee Two

NANDI PATTERSON
VICE PRESIDENT/TREASURE
6641 PINNOCHIO DR
JACKSONVILLE FL 32210

Officer/Director/Trustee Three

MAEOLA PATTERSON
SECRETARY
7330 COUNTY RD 213
WILDWOOD FL 34785

Officer/Director/Trustee Four

PRINCESS BOOKER
CONSULTANT
1591 LANE AVEVS
JACKSONVILLE FL 32210

Organization’s website
Organization’s email P5LYFE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/2/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
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 NANDI PATTERSON
Signature Title VICE PRESIDENT/TREASURE
Signature Date 3/28/18

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