FORM 1023-EZ for LIFESPAN COMMUNITY SERVICES

Field Data
EIN 20-2134767
Case Number EO-2017192-000232
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFESPAN COMMUNITY SERVICES
Organization’s Mailing Address 2920 CASSIA STREET
City BOISE
State ID
ZIP 83705
Accounting period End 12
Primary contact name CHARLOTTE COMBE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLOTTE COMBE
PRESIDENT
2920 CASSIA STREET
BOISE ID 83705

Officer/Director/Trustee Two

LAURIE JO KARK
VICE PRESIDENT
2920 CASSIA STREET
BOISE ID 83705

Officer/Director/Trustee Three

MICHAEL SAGER
TREASURER
2920 CASSIA STREET
BOISE ID 83705

Officer/Director/Trustee Four

SAMANTHA HARRISON
SECRETARY
2920 CASSIA STREET
BOISE ID 82705

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2005
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 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
Signature Title
Signature Date

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