FORM 1023-EZ for LIFES JOURNEY HOSPICE FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 84-2943782 |
| Case Number | EO-2019280-000484 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LIFES JOURNEY HOSPICE FOUNDATION INC |
| Organization’s Mailing Address | 100241 E CO RD 100 N |
| City | INDIANAPOLIS |
| State | IN |
| ZIP | 46234 |
| Accounting period End | 12 |
| Primary contact name | ROBERT WALLACE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ROBERT WALLACE
CHAIRMAN
1354 BLUE RIDGE LANE
BROWNSBURG IN 46112
Officer/Director/Trustee Two
LAURY WALLACE
SECRETARY
1354 BLUE RIDGE LANE
BROWNSBURG IN 46112
Officer/Director/Trustee Three
KEVIN RICKARD
PRESIDENT
53 SUMMIT DR
CLINTON IN 47842
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/30/19 |
| Organization Incorporation State | IN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T31 - Community Foundations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No 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 | 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 | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | ROBERT WALLACE |
| Signature Title | CHAIRMAN |
| Signature Date | 10/5/19 |
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