FORM 1023-EZ for 4U4ME4LIFE

Field Data
EIN 84-3205503
Case Number EO-2019280-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 4U4ME4LIFE
Organization’s Mailing Address 444 MEADOWBROOK RD
City JACKSON
State MS
ZIP 39206
Accounting period End 12
Primary contact name DAVID LUKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID LUKE
CEO/PRESIDENT
444 MEADOWBROOK RD
JACKSON MS 39206

Officer/Director/Trustee Two

ZACH CRANDELL
VICE PRESIDENT
3556 MONCURE-MARBLE RD
TERRY MS 39170

Officer/Director/Trustee Three

SUELLEN JOHNSON
SECRETERY
142 BASSWOOD CIR
BRANDON MS 39047

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/19
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID LUKE
Signature Title CEO/PRESIDENT
Signature Date 10/3/19

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