FORM 1023-EZ for LIFE IN MOTION USA

Field Data
EIN 81-4121153
Case Number EO-2016319-000394
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFE IN MOTION USA
Organization’s Mailing Address 31662 MAR VISTA AVE
City LAGUNA BEACH
State CA
ZIP 92651
Accounting period End 12
Primary contact name JEFFERY RAMBO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFERY RAMBO
PRESIDENT
31662 MAR VISTA AVE
LAGUNA BEACH CA 92651

Officer/Director/Trustee Two

RANDY HAZARD
SECRETARY/TREASURER
5480 BRECKENRIDGE AVE
BANNING CA 92220

Officer/Director/Trustee Three

KELLY ONEILL
DIRECTOR
2702 PALA WAY
LAGUNA BEACH CA 92651

Organization’s website LIFEINMOTIONUSA.ORG
Organization’s email ADMIN@LIFEINMOTIONUSA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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
Signature Title
Signature Date

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