FORM 1023-EZ for NEW LIFE INTERNATIONAL MISSION INC

Field Data
EIN 83-2656131
Case Number EO-2018340-000313
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW LIFE INTERNATIONAL MISSION INC
Organization’s Mailing Address 116 ADAMS STREET
City AGAWAM
State MA
ZIP 1001
Accounting period End 12
Primary contact name ANATOLIY PALIY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANATOLIY PALIY
PRESIDENT AND DIRECTOR
116 ADAMS STREET
AGAWAM MA 1001

Officer/Director/Trustee Two

FEDOR GERASIMOV
VICE PRESIDENT
116 ADAMS STREET
AGAWAM MA 1001

Officer/Director/Trustee Three

ANATOLIY PALIY
TREASURER
116 ADAMS STREET
AGAWAM MA 1001

Officer/Director/Trustee Four

ANATOLIY PALIY
CLERK
116 ADAMS STREET
AGAWAM MA 1001

Officer/Director/Trustee Five

FEDOR GERASIMOV
DIRECTOR
116 ADAMS STREET
AGAWAM MA 1001

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/18
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANATOLIY PALIY
Signature Title CLERK
Signature Date 12/3/18

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