FORM 1023-EZ for BOSS FOR LIFE INC

Field Data
EIN 82-4646425
Case Number EO-2018323-000298
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOSS FOR LIFE INC
Organization’s Mailing Address 3622 UTOY DRIVE
City ATLANTA
State GA
ZIP 30331
Accounting period End 12
Primary contact name LATASHA PYATT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATASHA PYATT
CEO
3622 UTOY DRIVE
ATLANTA GA 30331

Officer/Director/Trustee Two

DONNA LEE
SECRETARY
849 JOSEPH CLUB DRIVE
MABLETON GA 30126

Officer/Director/Trustee Three

ROXANN GRAVELY
CFO
4130 VERSAILLES DRIVE
ORLANDO FL 32808

Organization’s website WWW.BOSSFORLIFE.ORG
Organization’s email WWW.BOSSFORLIFEGA@BOSSFORLIFE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LATASHA PYATT
Signature Title CEO
Signature Date 11/15/18

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