FORM 1023-EZ for MY LIFE FOUNDATION INC

Field Data
EIN 82-1804123
Case Number EO-2017328-000335
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MY LIFE FOUNDATION INC
Organization’s Mailing Address 1404 NORTH ROLLING ROAD
City BALTIMORE
State MD
ZIP 21228-1101
Accounting period End 12
Primary contact name DAVID N KURYK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHONG YI
PRESIDENT
428 HARDMOORE CT
GLEN BURNIE MD 21061-6100

Officer/Director/Trustee Two

SEONG JUNG
TREASURER
6509 HAZEL THICKET DR
COLUMBIA MD 21044-6048

Officer/Director/Trustee Three

SONG CHOE
CHAIRMAN OF THE BOARD
10799 HICKORY RIDGE RD APT 236
COLUMBIA MD 21044-3873

Officer/Director/Trustee Four

JENNA LEE
SECRETARY
7925 DELLA ROSA CT
PASADENA MD 21122-7001

Officer/Director/Trustee Five

HYANG PARK
COMMUNITY RELATIONS DIRECTOR
10301 NEW HAMPSHIRE AVE
SILVER SPRING MD 20903-1414

Organization’s website MLFMD.ORG
Organization’s email INFO@MLFMD.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2017
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 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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