FORM 1023-EZ for LIFESWORK INC

Field Data
EIN 47-2193997
Case Number EO-2015163-000530
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFESWORK INC
Organization’s Mailing Address 10 RICORD STREET STE 12
City NEWARK
State NJ
ZIP 07106
Accounting period End 12
Primary contact name ROBYN ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBYN ADAMS
EXECUTIVE DIRECTOR
10-12 RICORD STREET
NEWARK NJ 07106

Officer/Director/Trustee Two

MONIQUE ADAMS
DIRECTOR
229 SAINT CLOUD AVE
WEST ORANGE NJ 07052

Officer/Director/Trustee Three

JANIYA LITTLE
SECRETARY
229 SAINT CLOUD AVE
WEST ORANGE NJ 07052

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2014
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
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 Yes
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
Signature Title
Signature Date

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