FORM 1023-EZ for LIFE

Field Data
EIN 82-2342104
Case Number EO-2017216-000195
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFE
Organization’s Mailing Address 7615 LEMON GULCH WAY
City CASTLE ROCK
State CO
ZIP 80108
Accounting period End 12
Primary contact name CHERYL COFFEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS DEDIEGO
DIRECTOR
7615 LEMON GULCH WAY
CASTLE ROCK CO 80108

Officer/Director/Trustee Two

SEYMOUR DRIGGERS
DIRECTOR
5404 FAWN RIDGE
CASTLE ROCK CO 80104

Officer/Director/Trustee Three

ERIC HAMP
DIRECTOR
305 MOONLIGHT DR
EULESS TX 76039

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2017
Organization Incorporation State CO
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: No
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 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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