FORM 1023-EZ for THE SWELL LIFE FOUNDATION INC

Field Data
EIN 85-2678292
Case Number EO-2020276-000034
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SWELL LIFE FOUNDATION INC
Organization’s Mailing Address 4215 UNION SQUARE BLVD APT 430
City PALM BEACH GARDENS
State FL
ZIP 33410
Accounting period End 12
Primary contact name CASEY KIERNAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASEY KIERNAN
FOUNDER, PRESIDENT
4215 UNION SQUARE BLVD APT 430
PALM BEACH GARDENS FL 33410

Officer/Director/Trustee Two

MARISSA KOSIEC
OUTREACH DIRECTOR
3100 RIDGEWAY AVE
WEST PALM BEACH FL 33405

Officer/Director/Trustee Three

LINDSAY LEBLANC
DEVELOPMENT DIRECTOR
133 FARMINGDALE DR
JUPITER FL 33458

Officer/Director/Trustee Four

CODY KIERNAN
ACTIVITIES DIRECTOR
2981 WINDSWEPT DR/ APT307
LANTANA FL 33462

Officer/Director/Trustee Five

NANCY LEWIS
VOLUNTEER DIRECTOR
3540 SOUTH OCEAN BLVD/ 702E
PALM BEACH FL 33480

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CASEY KIERNAN
Signature Title FOUNDER, PRESIDENT
Signature Date 9/30/2020

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