FORM 1023-EZ for FAITH LIFE DESTINY CENTER

Field Data
EIN 81-4254392
Case Number EO-2016305-000312
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAITH LIFE DESTINY CENTER
Organization’s Mailing Address 2039 LOVERS LN
City SHREVEPORT
State LA
ZIP 71105
Accounting period End 12
Primary contact name DONNA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA JOHNSON
EXECUTIVE DIRECTOR
2039 LOVERS LN
SHREVEPORT LA 71105

Officer/Director/Trustee Two

SYLVESTER JOHNSON
PRESIDENT
2039 LOVERS LN
SHREVEPORT LA 71105

Officer/Director/Trustee Three

BENJAMIN BLAKE
VICE-PRESIDENT
326 PHOENIX DR
SHREVEPORT LA 71103

Officer/Director/Trustee Four

JOSHUA JOHNSON
SECRETARY/TREASURER
1903 BIG HORN DR
HOUSTON TX 77090

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 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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