FORM 1023-EZ for LIFE ENVISIONED INC

Field Data
EIN 85-0714791
Case Number EO-2020212-000228
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFE ENVISIONED INC
Organization’s Mailing Address 1201 W PEACHTREE STREET NW STE 2300
City ATLANTA
State GA
ZIP 30309
Accounting period End 12
Primary contact name ALAN BOOKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALAN BOOKER
PRESIDENT
1201 W PEACHTREE STREET NW STE 2300
ATLANTA GA 30309

Officer/Director/Trustee Two

CHARLES STORNE
VICE PRESIDENT
1201 W PEACHTREE STREET NW STE 2300
ATLANTA GA 30309

Officer/Director/Trustee Three

ROBERT PARKER
SECRETARY
1201 W PEACHTREE STREET NW STE 2300
ATLANTA GA 30309

Officer/Director/Trustee Four

CHARLES HAYES
TREASURER
1201 W PEACHTREE STREET NW STE 2300
ATLANTA GA 30309

Organization’s website
Organization’s email ALANBOOKER@LIFEENVISIONED.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
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 ALAN BOOKER
Signature Title PRESIDENT
Signature Date 5/28/2020

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