FORM 1023-EZ for UNIFIED 4 LIFE INC NFP

Field Data
EIN 84-1889545
Case Number EO-2020128-000161
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNIFIED 4 LIFE INC NFP
Organization’s Mailing Address 2413 VILLAGE GREEN PLACE
City CHAMPAIGN
State IL
ZIP 61822
Accounting period End 12
Primary contact name DANIEL HOLDER AND ASSOCIATES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINA NEWBERRY
PRESIDENT/TREASURER
502 W WALNUT
TOLONO IL 61880

Officer/Director/Trustee Two

JEFF NEWBERRY
SECRETARY
502 W WALNUT
TOLONO IL 61880

Officer/Director/Trustee Three

LATRICIA JOHNSON
DIRECTOR
8 SULKY LANE
PEOSTUM IL 61863

Organization’s website
Organization’s email NEWBERRY.TINA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/2019
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
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 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 CHRISTINA NEWBERRY
Signature Title PRESIDENT/TREASURER
Signature Date 5/5/2020

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