FORM 1023-EZ for CHRIST LIFE CENTER

Field Data
EIN 81-1982840
Case Number EO-2016123-000217
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHRIST LIFE CENTER
Organization’s Mailing Address 12901 GEORGIA AVENUE
City SILVER SPRING
State VA
ZIP 20906
Accounting period End 4
Primary contact name MARIE-PAULE SARAKA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARIE PAULE SARAKA
SECRETARY OF THE CHURCH
23316 TRADEWIND DRIVE
ASHBURN VA 20148

Officer/Director/Trustee Two

TIMOTHY JOHNSON
PRINCIPAL PASTOR
44132 SHADY GLEN TERRACE
ASHBURN VA 20147

Officer/Director/Trustee Three

DESIREE MONNET
FINANCIAL HEAD
23408 CLARKSRIDGE RD
CLARKSBURG MD 20871

Officer/Director/Trustee Four

TETE ETEY-BENISSAN
MEN LEADER
1107 BALTIMORE RD
ROCKVILLE MD 20850

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2016
Organization Incorporation State MD
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 Yes
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 Yes
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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