FORM 1023-EZ for SHARE LIFE

Field Data
EIN 81-2134246
Case Number EO-2016124-000116
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHARE LIFE
Organization’s Mailing Address 210 S 4TH STREET
City CLEAR LAKE
State IA
ZIP 50428
Accounting period End 12
Primary contact name ASHLEY COLEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ASHLEY COLEMAN
PRESIDENT
210 S 4TH STREET
CLEAR LAKE IA 50428

Officer/Director/Trustee Two

MICHAEL DEVINE
VICE PRESIDENT
206 12TH AVE S
CLEAR LAKE IA 50428

Officer/Director/Trustee Three

KRISTEN SEEHUSEN
SECRETARY
714 S 8TH ST
CLEAR LAKE IA 50428

Officer/Director/Trustee Four

NICHOLE SORENSEN
TREASURER
803 NORTH SHORE DR
CLEAR LAKE IA 50428

Organization’s website WWW.FACEBOOK.COM/SHARELIFECLEARLAKE
Organization’s email SHARELIFECLEARLAKE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2016
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (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 Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
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
Signature Title
Signature Date

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