FORM 1023-EZ for LIFE LEARNING INTERVENTION SERVICESORGANIZATION
| Field | Data |
|---|---|
| EIN | 85-3485457 |
| Case Number | EO-2021144-000355 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LIFE LEARNING INTERVENTION SERVICESORGANIZATION |
| Organization’s Mailing Address | 18977 W 10 MILE RD SUITE 100 |
| City | SOUTHFIELD |
| State | MI |
| ZIP | 48075 |
| Accounting period End | 12 |
| Primary contact name | TINA DAVIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TINA DAVIS
FOUNDER AND PRESIDENT
20011 PLYMOUTH RD APT 112
DETROIT MI 48228
Officer/Director/Trustee Two
NORDICA BROWN
PROGRAM DIRECTOR
27525 DOREEN STREET
FARMINGTON HILLS MI 48336
Officer/Director/Trustee Three
KIMBERLY DAVIS
LIAISON
12234 WILSHIRE
DETROIT MI 48213
Officer/Director/Trustee Four
VENITA REED
SECRETARY
13976 PIEDMONT STREET
DETROIT MI 48223
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/15/2020 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P99 - Human Services - Multipurpose and Other N.E.C. |
| Organization’s purpose | Charitable: Yes 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 | Yes |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | Yes |
| Gaming Activity | No |
| Disaster relief assistance | No |
| One Third Support Public | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | TINA DAVIS |
| Signature Title | FOUNDER AND PRESIDENT |
| Signature Date | 5/22/2021 |
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