FORM 1023-EZ for DOT4LIFE INC

Field Data
EIN 66-0842156
Case Number EO-2019028-000075
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOT4LIFE INC
Organization’s Mailing Address 7000 CARR 844 APT 44
City SAN JUAN
State PR
ZIP 926
Accounting period End 12
Primary contact name MARISEL BRIGNONI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARISEL BRIGNONI
PRESIDENT
7000 CARR 844 APT 44
SAN JUAN PR 926

Officer/Director/Trustee Two

JESSICA NUNEZ
SECRETARY
PO BOX 191606
SAN JUAN PR 919-1606

Officer/Director/Trustee Three

CORALLY ROSADO
TREASURER
PO BOX 260095
SAN JUAN PR 926

Officer/Director/Trustee Four

LISA ORTIZ
VOCAL
CALLE J 63 ENSENADA
GUANICA PR 647

Officer/Director/Trustee Five

KEVIN DEL VALLE
VOCAL
AVE DIEGO VELAZQUEZ D3 URB EL CONQU
TRUJILLO ALTO PR 976

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/15
Organization Incorporation State PR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 MARISEL BRIGNONI
Signature Title PRESIDENT
Signature Date 12/13/18

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