FORM 1023-EZ for LIFETIME FOOD BANK INC

Field Data
EIN 84-3713001
Case Number EO-2019357-000427
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFETIME FOOD BANK INC
Organization’s Mailing Address 1295 TERRELL MILL RD STE 104
City MARIETTA
State GA
ZIP 30067
Accounting period End 12
Primary contact name LATISHA NIEVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIJAH AJOSEH
PRESIDENT, DIRECTOR
2125 CANERIDGE DR SW
MARIETTA GA 30064

Officer/Director/Trustee Two

ELIJAH AJSEH
TREASURER, DIRECTOR
2125 CANERIDGE DR SW
MARIETTA GA 30064

Officer/Director/Trustee Three

LATISHA NIEVES
SECRETARY, DIRECTOR
2125 CANERIDGE DR SW
MARIETTA GA 30064

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
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 LATISHA NIEVES
Signature Title SECRETARY, DIRECTOR
Signature Date 12/20/2019

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