FORM 1023-EZ for LIFE CARE WELLNESS PEP FOR ANGELS

Field Data
EIN 74-3105978
Case Number EO-2017046-000092
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFE CARE WELLNESS PEP FOR ANGELS
Organization’s Mailing Address 1526 BRECON DRIVE
City JACKSON
State MS
ZIP 39211-5612
Accounting period End 12
Primary contact name JEAN FARISH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEAN FARISH
CHIEF EXECUTIVE OFFICER
1526 BRECON DRIVE
JACKSON MS 39211-5612

Officer/Director/Trustee Two

CYTHIA ARMSTRONG
TREASURER
1948 EDWARD LANE
JACKSON MS 39213

Officer/Director/Trustee Three

BETTY JOHNSON
SECRETARY
5830 CYPRESS TRAIL
JACKSON MS 39211

Organization’s website WWW.JEANFARISHJOURNEY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2016
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations N.E.C.
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 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
Signature Title
Signature Date

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