FORM 1023-EZ for INTRINSIC LIFESTYLE INC

Field Data
EIN 86-2971492
Case Number EO-2021153-000077
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTRINSIC LIFESTYLE INC
Organization’s Mailing Address 202 BRABANT STREEET
City STATEN ISLAND
State NY
ZIP 10303
Accounting period End 6
Primary contact name MICHAEL & ANISHA THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL THOMAS
FOUNDER & PRESIDENT
202 BRABANT
STATEN ISLAND NY 10303

Officer/Director/Trustee Two

ANISHA DAVIS-THOMAS
CO FOUNDER & TREAS & SEC
202 BRABANT ST
STATEN ISLAND NY 10303

Officer/Director/Trustee Three

ERIC WILLIAMS
TREASURER
1961 BRIGHTLEAF WAY
MARIETTA GA 30060

Organization’s website
Organization’s email INTRINSICLIFESTYLEINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2021
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 ANISHA DAVIS-THOMAS
Signature Title CO FOUNDER & TREAS & SEC
Signature Date 5/28/2021

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