FORM 1023-EZ for FORWARD MOTION LIFE SUCCESS INC

Field Data
EIN 83-4639976
Case Number EO-2019338-000341
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORWARD MOTION LIFE SUCCESS INC
Organization’s Mailing Address PO BOX 1056
City VALLEY STREAM
State NY
ZIP 11582
Accounting period End 12
Primary contact name ALFRED TITUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DR ALFRED TITUS JR
CEO
PO BOX 1056
VALLEY STREAM NY 11582

Officer/Director/Trustee Two

BRIANNA TITUS
PRESIDENT
2335 SOUTHRIDGE DRIVE
EAST STROUDSBURG PA 18302

Officer/Director/Trustee Three

DEEPAK KUMAR
VICE PRESIDENT
280 DIVISION AVE
HICKSVILLE NY 11801

Officer/Director/Trustee Four

TERISA CHARLES
TREASURER/SECRETARY
142 ELMWOOD STREET
VALLEY STREAM NY 11581

Officer/Director/Trustee Five

MADISON CONYERS
YOUTH COORDINATOR OFFICER
2440 CEDAR ROCK DRIVE
WAKE FOREST NC 27587

Organization’s website N/A
Organization’s email FORWARDMOTIONLIFESUCCESS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/2019
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 DR ALFRED TITUS JR
Signature Title CEO
Signature Date 12/2/2019

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