FORM 1023-EZ for LIFE SERVICE MINISTRIES INTERNATIONAL

Field Data
EIN 46-3279344
Case Number EO-2014287-000303
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFE SERVICE MINISTRIES INTERNATIONAL
Organization’s Mailing Address 3333 4TH ST N
City MINNEAPOLIS
State MN
ZIP 55412
Accounting period End 7
Primary contact name NATT DAKAGBOI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NATT DAKAGBOI
CHAIR
3333 4TH ST N
MINNEAPOLIS MN 55412

Officer/Director/Trustee Two

WALTER GWENIGALE JR
BOARD MEMBER
3333 4TH ST N
MINNEAPOLIS MN 55412

Officer/Director/Trustee Three

CIAMON KOLLIE
BOARD MEMBER
3333 4TH ST N
MINNEAPOLIS MN 55412

Officer/Director/Trustee Four

MOSES KETTER
TREASURER
3333 4TH ST N
MINNEAPOLIS MN 55412

Officer/Director/Trustee Five

EDWIN FLOMO
BOARD MEMBER
3333 4TH ST N
MINNEAPOLIS MN 55412

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2013
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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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