FORM 1023-EZ for LIFE 180 ORGANIZATION

Field Data
EIN 81-2128994
Case Number EO-2016340-000415
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFE 180 ORGANIZATION
Organization’s Mailing Address 4309 STRODTMAN PLACE
City ST. LOUIS
State MO
ZIP 63107-1939
Accounting period End 12
Primary contact name BLAINENIES CURRIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLAINENIES CURRIE
FOUNDER, VP, SECRETARY
4309 STRODTMEN PLACE
ST. LOUIS MO 63107-1939

Officer/Director/Trustee Two

DARRYL CURRIE
PRESIDENT, TREASURER
4309 STRODTMAN PLACE
ST. LOUIS MO 63107-1939

Officer/Director/Trustee Three

MACK KING
DIRECTOR
1085 LEIGHS BROOK WAY
DACULA GA 30019-2452

Officer/Director/Trustee Four

CHARLES ALLEN
DIRECTOR
1839 SAGUNTO DRIVE
SPANISH LAKE MO 63138-1844

Officer/Director/Trustee Five

FILICITY WINSTON
DIRECTOR
4335 COLLEGE AVE
ST. LOUIS MO 63107-1613

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/2016
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B30 - Vocational, Technical Schools
Organization’s purpose Charitable: Yes
Religious: No
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
Signature Title
Signature Date

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