FORM 1023-EZ for LIVE4MORE MENS DISCIPLESHIP MINISTRY INC

Field Data
EIN 81-2856650
Case Number EO-2016293-000352
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIVE4MORE MENS DISCIPLESHIP MINISTRY INC
Organization’s Mailing Address 3376 MAZUR DRIVE
City MELBOURNE
State FL
ZIP 32901-8222
Accounting period End 12
Primary contact name DAVE MYLER CPA TREASURER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONATHAN CYR
PRESIDENT
3376 MAZUR DRIVE
MELBOURNE FL 32901-8222

Officer/Director/Trustee Two

DAVE MYLER
TREASURER
533 ISLAND CT
INDIAN HARBOR BEACH FL 32937-4385

Officer/Director/Trustee Three

W CLAY WOODARD
VICE-PRESIDENT
1383 HAILEY STREET
WEST MELBOURNE FL 32904-8213

Officer/Director/Trustee Four

RANDAL AGOSTINI
SECRETARY
132 SE FIRST STREET
SATELLITE BEACH FL 32937-2120

Officer/Director/Trustee Five

BERNARD YANDURA
BOARD MEMBER
5631 HERONS LANDING DRIVE
ROCKLEDGE FL 32955-6303

Organization’s website WWW.LIVE4MORE.US
Organization’s email JONCYR@BELLSOUTH.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
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 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 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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