FORM 1023-EZ for THE FULLER LIFE

Field Data
EIN 84-2309763
Case Number EO-2020125-000449
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE FULLER LIFE
Organization’s Mailing Address 410 W HANSSLER PL
City PEORIA
State IL
ZIP 61604
Accounting period End 10
Primary contact name LEE DYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEE DYER
PRESIDENT
410 W HANSSLER PL
PEORIA IL 61604

Officer/Director/Trustee Two

SARAH DYER
SECRETARY
410 W HANSSLER PL
PEORIA IL 61604

Officer/Director/Trustee Three

SEVERIN GILBERT
TRUSTEE
3004 LINCOLN AVE
DAVENPORT IA 52804

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2019
Organization Incorporation State IL
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 Yes
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 Yes
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 LEE DYER
Signature Title PRESIDENT
Signature Date 5/1/2020

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