FORM 1023-EZ for LIFESKILLS FOR DAILY LIVING

Field Data
EIN 82-1056419
Case Number EO-2017114-000336
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFESKILLS FOR DAILY LIVING
Organization’s Mailing Address 7473 W LAKE MEAD BLVD SUITE 100
City LAS VEGAS
State NV
ZIP 89128-0265
Accounting period End 12
Primary contact name JOHN R TRIPLETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN TRIPLETT
PRESIDENT AND TREASURER
7473 W LAKE MEAD BLVD SUITE 100
LAS VEGAS NV 89128-0265

Officer/Director/Trustee Two

JACQUELINE TRIPLETT
SECRETARY
7473 W LAKE MEAD BLVD SUITE 100
LAS VEGAS NV 89128-0265

Officer/Director/Trustee Three

JUSTIN TRIPLETT
DIRECTOR
7473 W LAKE MEAD BLVD SUITE 100
LAS VEGAS NV 89128-0265

Officer/Director/Trustee Four

JOCELYN TRIPLETT
DIRECTOR
7473 W LAKE MEAD BLVD SUITE 100
LAS VEGAS NV 89128-0265

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2017
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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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