FORM 1023-EZ for LIFESTYLEFIT22 LTD

Field Data
EIN 84-3328771
Case Number EO-2019350-000205
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFESTYLEFIT22 LTD
Organization’s Mailing Address 47 WALTON AVENUE
City LOCUST VALLEY
State NY
ZIP 11560-1226
Accounting period End 12
Primary contact name HELEN DELETTO ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL BEDNAR
PRESIDENT/DIRECTOR
47 WALTON AVENUE
LOCUST VALLEY NY 11560-1226

Officer/Director/Trustee Two

MARK BEDNAR
DIRECTOR
56 BRIAR ROAD
BETHANY CT 06524-3443

Officer/Director/Trustee Three

BOBBY REKHA
DIRECTOR
20 BEVERLY ROAD
HUNTINGTON STATION NY 11746-3467

Organization’s website WWW.LIFESTYLEFIT22.ORG
Organization’s email LIFESTYLE22FIT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2019
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 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 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 MICHAEL BEDNAR
Signature Title PRESIDENT/DIRECTOR
Signature Date 12/12/2019

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