FORM 1023-EZ for LIFE PREP INC

Field Data
EIN 47-3922728
Case Number EO-2015128-000448
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFE PREP INC
Organization’s Mailing Address PO BOX 80031
City CONYERS
State GA
ZIP 30013
Accounting period End 12
Primary contact name WILLIAM CLARKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIAM CLARKE
PRESIDENT
2350 BRENTMOORE PT SE
CONYERS GA 30013-6331

Officer/Director/Trustee Two

JUANITA CLARKE
TRUSTEE
2350 BRENTMOORE POINT SE
Conyers GA 30013-6331

Officer/Director/Trustee Three

ALIKO CLARKE
TRUSTEE
6601 SKLYAR PLACE
FREDERICK MD 21703-7078

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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
Signature Title
Signature Date

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