FORM 1023-EZ for LIFELINE TRANSFORMATION MINISTRIESINC

Field	Data
EIN	83-1810637
Case Number	EO-2018261-000180
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	LIFELINE TRANSFORMATION MINISTRIESINC
Organization’s Mailing Address	2418 WEST BANK EXPRESSWAY
City	HARVEY
State	LA
ZIP	70058
Accounting period End	12
Primary contact name	CALVIN E GODWIN JR
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00

Officer/Director/Trustee One

KATHY RADKE-STOREY
DIRECTOR
2418 WEST BANK EXPRESSWAY
HARVEY LA 70058

Officer/Director/Trustee Two

DESZI HILL
DIRECTOR
2418 WEST BANK EXPRESSWAY
HARVEY LA 70058

Officer/Director/Trustee Three

ROBERT STOREY
DIRECTOR
2418 WEST BANK EXPRESSWAY
HARVEY LA 70058

Officer/Director/Trustee Four

CALVIN GODWIN JR
DIRECTOR
2418 WEST BANK EXPRESSWAY
HARVEY LA 70058

Organization’s website	LIFELINETRANSFORMATIONMINISTRIES.ORG
Organization’s email
Organization Incorporated	Yes
Organization trust	No
Necessary Organizing Documents	Yes
Organization Incorporation Date	9/7/18
Organization Incorporation State	LA
Contains Limitation	Yes
Does not expressly empower	Yes
Contains dissolution	Yes
National Taxonomy of Exempt Entities (NTEE) code	F22 - Alcohol, Drug Abuse, Treatment Only
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	No
Benefit of College	No
Private Foundation 508(e)	Yes
Seeking Retroactive Reinstatement	No
Seeking Section 7 Reinstatement	No
Correctness Declaration	Yes
Signature Name	CALVIN GODWIN JR
Signature Title	DIRECTOR
Signature Date	9/16/18
EIN	83-1810637
Case Number	EO-2018261-000180
Form 1023-EZ version	12018
Eligibility Worksheet	1
Organization Name	LIFELINE TRANSFORMATION MINISTRIES INC
Organization’s Mailing Address	2418 WEST BANK EXPRESSWAY
City	HARVEY
State	LA
ZIP	70058
Accounting period End	12
Primary contact name	CALVIN E GODWIN JR
Primary contact phone	[Hidden]
Primary contact phone extension	[Hidden]
Primary contact fax	[Hidden]
User fee submitted	$275.00