FORM 1023-EZ for STARLIFE

Field Data
EIN 86-2806335
Case Number EO-2021133-000344
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STARLIFE
Organization’s Mailing Address PO BOX 885
City MONTEZUMA CREEK
State UT
ZIP 84534
Accounting period End 12
Primary contact name KEVIN MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PEGGY LIU
PRESIDENT
6251 COLDWATER CANYON AVE UNIT 308
NORTH HOLLYWOOD CA 91606

Officer/Director/Trustee Two

TODD PORTER
SECRETARY AND TREASURER
2059 SHARON ROAD
CHARLOTTE NC 28207

Officer/Director/Trustee Three

KEVIN MARTIN
DIRECTOR
PO BOX 885
MONTEZUMA CREEK UT 84534

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 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 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 TODD PORTER
Signature Title SECRETARY AND TREASURER
Signature Date 5/11/2021

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