FORM 1023-EZ for LIFE EMPOWERMENT & SURVIVAL MINISTRIES INC

Field Data
EIN 83-4579100
Case Number EO-2021103-000669
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFE EMPOWERMENT & SURVIVAL MINISTRIES INC
Organization’s Mailing Address 16541 S WOOD ST
City MARKHAM
State IL
ZIP 60428
Accounting period End 7
Primary contact name TONIA M REAVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONIA REAVES
PRESIDENT & CEO
223 KENTUCKY ST
MARKHAM IL 60428

Officer/Director/Trustee Two

THERON WASHINGTON-MAHDI
VICE-PRESIDENT
223 KENTUCKY ST
PARK FOREST IL 60466

Officer/Director/Trustee Three

ISMAIL SPRAGGINS
VICE-PRESIDENT
16541 S WOOD ST
MARKHAM IL 60428

Officer/Director/Trustee Four

KAIRA SPRAGGINS
SECRETARY
16541 S WOOD ST
MARKHAM IL 60428

Officer/Director/Trustee Five

PRESTON WASHINGTON-MAHDI
CHAIRPERSON
16541 S WOOD ST
MARKHAM IL 60428

Organization’s website HTTPS://LIFE-EMPOWERMENT-SURVIVAL.BUSINESS.SITE
Organization’s email LIFEMPOWERMENTZONE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 TONIA REAVES
Signature Title PRESIDENT & CEO
Signature Date 4/7/2021

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