FORM 1023-EZ for LIFESTYLE MINISTRIES SECOND CHANCEINITIATIVE PROGRAM INC

Field Data
EIN 85-1033333
Case Number EO-2020139-000385
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFESTYLE MINISTRIES SECOND CHANCEINITIATIVE PROGRAM INC
Organization’s Mailing Address 4430 MCCOY ST NO 269416
City INDIANAPOLIS
State IN
ZIP 46226
Accounting period End 12
Primary contact name PRISCILLA MORTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PRISCILLA MORTON
PRESIDENT
4430 MCCOY ST NO 269416
INDIANAPOLIS IN 46226

Officer/Director/Trustee Two

LUTELLIS TUCKER
VICE PRESIDENT
4430 MCCOY ST NO 269416
INDIANAPOLIS IN 46226

Officer/Director/Trustee Three

TRACY JOHNSON
SECRETARY
4430 MCCOY ST NO 269416
INDIANAPOLIS IN 46226

Officer/Director/Trustee Four

TRACY JOHNSON
TREASURER
4430 MCCOY ST NO 269416
INDIANAPOLIS IN 46226

Organization’s website
Organization’s email PMORTON233@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 PRISCILLA MORTON
Signature Title PRESIDENT
Signature Date 5/15/2020

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