FORM 1023-EZ for CHRISTIAN LIFE RADIO STATION

Field Data
EIN 83-3563572
Case Number EO-2021097-001188
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHRISTIAN LIFE RADIO STATION
Organization’s Mailing Address 973 GOOCHLAND STREET
City NORFOLK
State VA
ZIP 23504
Accounting period End 12
Primary contact name NAKIA KITTRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAKIA PEREZ
DIRECTOR
973 GOOCHLAND STREET
NORFOLK VA 23504

Officer/Director/Trustee Two

PORTIA BRYANT
PRESIDENT
165 COMMODORE DRIVE
NORFOLK VA 23503

Officer/Director/Trustee Three

KEVIN MALONE
VICE PRESIDENT
7710 OCONNOR DRIVE APT 1701
ROUND ROCK TX 78761

Officer/Director/Trustee Four

NAKIA KITTRELL
SECRETARY TREASURER
122 STONEY RIDGE AVENUE
SUFFOLK VA 23435

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A34 - Radio
Organization’s purpose Charitable: No
Religious: Yes
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 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 LAKIA PEREZ
Signature Title DIRECTOR
Signature Date 3/15/2021

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