FORM 1023-EZ for ONE LIFE AT A TIME MINISTRIES INC

Field Data
EIN 83-0891715
Case Number EO-2018249-000101
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ONE LIFE AT A TIME MINISTRIES INC
Organization’s Mailing Address 11222 N 75TH DRIVE
City PEORIA
State AZ
ZIP 85345
Accounting period End 12
Primary contact name PETER SELLECK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER SELLECK
PRESIDENT
11222 N 75TH DRIVE
PEORIA AZ 85345

Officer/Director/Trustee Two

GREGORY WESTPHAL
TRESURER
11222 N 75TH DRIVE
PEORIA AZ 85345

Officer/Director/Trustee Three

ALBERT PONCEL
SECRETARY
11222 N 75TH DRIVE
PEORIA AZ 85345

Organization’s website
Organization’s email PETESELLECK@COX.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/18
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 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 PETER SELLECK
Signature Title PRESIDENT
Signature Date 9/3/18

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