FORM 1023-EZ for SPEAK LIFE AND LIVE

Field Data
EIN 81-3394817
Case Number EO-2016308-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPEAK LIFE AND LIVE
Organization’s Mailing Address 176 WEST MEADOWVIEW
City STATESVILLE
State NC
ZIP 28625
Accounting period End 6
Primary contact name PEGGY MILLSAPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LESLIE MORRISON
EXECUTIVE DIRECTOR
176 W MEADOWVIEW DR
STATESVILLE NC 28625

Officer/Director/Trustee Two

STEPHANIE MCNEILL
TREASURER
146 VICTORIA DR
STATESVILLE NC 28625

Officer/Director/Trustee Three

PEGGY MILLSAPS
BOARD MEMBER
307 JENNINGS RD
STATESVILLE NC 28625

Officer/Director/Trustee Four

SAIRA ESTRADA
BOARD MEMBER
2116 E BROAD ST
STATESVILLE NC 28625

Officer/Director/Trustee Five

BERTHA HAMILTON
BOARD MEMBER
1135 HARRIS ST
STATESVILLE NC 28677

Organization’s website WWW.LESLIESPEAKLIFE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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