FORM 1023-EZ for LIFE GROWTH COMMUNITY INC

Field Data
EIN 82-4787776
Case Number EO-2018143-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFE GROWTH COMMUNITY INC
Organization’s Mailing Address 308 TRAFALGAR LANE
City CARY
State NC
ZIP 27513
Accounting period End 12
Primary contact name ZACHARY FREY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZACHARY FREY
PRESIDENT AND CHAIRPERSON
308 TRAFALGAR LANE
CARY NC 27513

Officer/Director/Trustee Two

SUZANNE STOLTZFUS
TREASURER
4412 TWIG COURT
APEX NC 27539

Officer/Director/Trustee Three

DEAN FREY
VICE PRESIDENT/DIRECTOR
324 QUARRY DRIVE
BLOOMSBURG PA 17815

Officer/Director/Trustee Four

DAVID PETERSHEIM
DIRECTOR
111 CHRISTIANA PIKE
CHRISTIANA PA 17509

Officer/Director/Trustee Five

HEATHER WEIDMAN
DIRECTOR
36 W HILLCREST DR LOT 3
BLOOMSBURG PA 17815

Organization’s website
Organization’s email ZACH.FREY.LIFE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q31 - International Agricultural Development
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 No
Donation of funds No
Conducting Activities Outside of United States Yes
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 ZACHARY FREY
Signature Title PRESIDENT AND CHAIRPERSON
Signature Date 5/21/18

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