FORM 1023-EZ for DOCTOR LIFELINE INCORPORATED

Field Data
EIN 83-1194944
Case Number EO-2019038-000483
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOCTOR LIFELINE INCORPORATED
Organization’s Mailing Address 314 NE 4 AVENUE
City GAINESVILLE
State FL
ZIP 32601-3437
Accounting period End 12
Primary contact name STEVEN REID
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEVEN REID
PRESIDENT, CHAIRMAN
314 NE 4 AVENUE
GAINESVILLE FL 32601-3437

Officer/Director/Trustee Two

RONALD JONES
VICE PRESIDENT, TREASURER
1616 NW 75 STREET
GAINESVILLE FL 32605-3172

Officer/Director/Trustee Three

MELISSA MANNING
SECRETARY
3959 SW 57 PLACE
TRENTON FL 32693-3092

Organization’s website WWW.DOCTORLIFELINE.ORG
Organization’s email REID@DOCTORLIFELINE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 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 STEVEN REID
Signature Title PRESIDENT, CHAIRMAN
Signature Date 1/31/19

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