FORM 1023-EZ for LIFE CIRCLE 72

Field Data
EIN 84-4363221
Case Number EO-2020023-000534
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFE CIRCLE 72
Organization’s Mailing Address 5071 AUSTELL POWDER SPRINGS 745
City CLARKDALE
State GA
ZIP 30111
Accounting period End 12
Primary contact name BRIDGET SIMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRA LEVERETTE
CFO
5890 WATER OAKS DR
AUSTELL GA 30106-3040

Officer/Director/Trustee Two

LASHAWN BRADLEY
COO
5506 WIND RIVER LN
POWDER SPRINGS GA 30127-9527

Officer/Director/Trustee Three

BRIDGET SIMPSON
CEO
5071 AUSTELL POWDER SPRINGS 745
CLARKDALE GA 30111

Organization’s website
Organization’s email LIFECIRCLE72@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 No
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 BRIDGET SIMPSON
Signature Title CEO
Signature Date 1/21/2020

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