FORM 1023-EZ for SPEAK LIFE MINISTRIES

Field Data
EIN 47-4124861
Case Number EO-2015152-000337
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPEAK LIFE MINISTRIES
Organization’s Mailing Address 12496 WINTER RIDGE DR
City WALKER
State LA
ZIP 70785
Accounting period End 12
Primary contact name LORALYN CHENEVERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LORALYN CHENEVERT
PRESIDENT
12496 WINTER RIDGE DR
WALKER LA 70785

Officer/Director/Trustee Two

JEFFERY CHENEVERT
VICE-PRESIDENT
12496 WINTER RIDGE DR
WALKER LA 70785

Officer/Director/Trustee Three

MYRTLE WATTS
SECRETARY
9889 HOOPER RD APT D8
BATON ROUGE LA 70818

Officer/Director/Trustee Four

LYNN SUMRALL
TREASURER
114 ST FABIAN DR
CARENCRO LA 70520

Officer/Director/Trustee Five

MICHELLE DELAMAR
BOARD MEMBER
31808 NETTERVILLE RD APT 1
DENHAM SPRINGS LA 70726

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/2015
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 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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