FORM 1023-EZ for DOMINION LIFE SKILLS FOUNDATION INC

Field Data
EIN 86-3979780
Case Number EO-2021209-000254
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOMINION LIFE SKILLS FOUNDATION INC
Organization’s Mailing Address 520 VINE DRIVE APT 8H
City FLOWOOD
State MS
ZIP 39232
Accounting period End 12
Primary contact name KIANA PAULINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIANA PAULINE
PRESIDENT DIRECTOR
520 VINE DRIVE APT 8H
FLOWOOD MS 39232

Officer/Director/Trustee Two

ANTONIO LOWELL
VP DIRECTOR
402 LEXINGTON AVE
JACKSON MS 39209

Officer/Director/Trustee Three

ARESIA RHODES
SECRETARY DIRECTOR
401 KIRKLAND COVE
BRANDON MS 39047

Officer/Director/Trustee Four

ARNYCE OWENS
TREASURER DIRECTOR
5555 E MOCKINGBIRD LANE APT 2703
DALLAS TX 75206

Officer/Director/Trustee Five

KEELA DOMINICK
DIRECTOR
1174 WEALEY CHAPEL ROAD
HAZLEHURST MS 39083

Organization’s website
Organization’s email KIANA.M.PAULINE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/2021
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KIANA PAULINE
Signature Title PRESIDENT DIRECTOR
Signature Date 7/26/2021

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