FORM 1023-EZ for LIFE AND SERVICES LS CONNECTION

Field Data
EIN 82-3728806
Case Number EO-2018051-000114
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFE AND SERVICES LS CONNECTION
Organization’s Mailing Address 418 N BELLS ST
City ALAMO
State TN
ZIP 38001
Accounting period End 12
Primary contact name LARRY B SIMMONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXANDER JONES
CHIEF OPERATING OFFICER
130 WEATHERIDGE DR
JACKSON TN 38305

Officer/Director/Trustee Two

LARRY SIMMONS
CHIEF FINANCIAL OFFICER
418 N BELLS ST
ALAMO TN 38001

Officer/Director/Trustee Three

SHEILA SIMMONS
CHAIRPERSON
418 N BELLS ST
ALAMO TN 38001

Officer/Director/Trustee Four

YELITZA TURNER
COMMUNICATION OFFICER
246 W CHURCH ST
ALAMO TN 38001

Officer/Director/Trustee Five

DENISE EDWARDS
ADMINISTRATION OFFICER
279 N BELLS ST APT-C
ALAMO TN 38001

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/18
Organization Incorporation State TN
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: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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 LARRY SIMMONS
Signature Title CHIEF FINANCIAL OFFICER
Signature Date 2/15/18

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