FORM 1023-EZ for FRESH LIFE INC

Field Data
EIN 84-2233057
Case Number EO-2019182-000463
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRESH LIFE INC
Organization’s Mailing Address 529 CLAIRMONT AVE
City MONROEVILLE
State AL
ZIP 36460
Accounting period End 12
Primary contact name J THOMAS COBB JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHAN LAZENBY
PRESIDENT
529 CLAIRMONT AVE
MONROEVILLE AL 36460

Officer/Director/Trustee Two

MELISSA LAZENBY
VICE PRESIDENT
529 CLAIRMONT AVE
MONROEVILLE AL 36460

Officer/Director/Trustee Three

DANIEL SPRINKLE
SECRETARY
3024 OLD STAGE ROAD
REPTON AL 36475

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/19
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JONATHAN LAZENBY
Signature Title PRESIDENT
Signature Date 6/27/19

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