FORM 1023-EZ for THE SHRINE OF THE CHRIST OF DIVINELIFE

Field Data
EIN 86-1038810
Case Number EO-2018079-000244
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SHRINE OF THE CHRIST OF DIVINELIFE
Organization’s Mailing Address 5025 S ASH AVE - SUITE B15
City TEMPE
State AZ
ZIP 85282
Accounting period End 12
Primary contact name JORGE EAGAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JORGE EAGAR
DIRECTOR
5025 S ASH AVE - SUITE B15
TEMPE AZ 85282

Officer/Director/Trustee Two

MAURICIO GIL BALLON
VICE PRESIDENT
5025 S ASH AVE - SUITE B15
TEMPE AZ 85282

Officer/Director/Trustee Three

BILL BRADLEY
SECRETARY
5025 S ASH AVE - SUITE B15
TEMPE AZ 85282

Officer/Director/Trustee Four

PJ LONGONI
TREASURER
5025 S ASH AVE - SUITE B15
TEMPE AZ 85282

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/01
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
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 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 JORGE EAGAR
Signature Title DIRECTOR
Signature Date 3/15/18
EIN 86-1038810
Case Number EO-2018079-000244
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SHRINE OF THE CHRIST OF DIVINE LIFE
Organization’s Mailing Address 5025 S ASH AVE - SUITE B15
City TEMPE
State AZ
ZIP 85282
Accounting period End 12
Primary contact name JORGE EAGAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JORGE EAGAR
DIRECTOR
5025 S ASH AVE - SUITE B15
TEMPE AZ 85282

Officer/Director/Trustee Two

MAURICIO GIL BALLON
VICE PRESIDENT
5025 S ASH AVE - SUITE B15
TEMPE AZ 85282

Officer/Director/Trustee Three

BILL BRADLEY
SECRETARY
5025 S ASH AVE - SUITE B15
TEMPE AZ 85282

Officer/Director/Trustee Four

PJ LONGONI
TREASURER
5025 S ASH AVE - SUITE B15
TEMPE AZ 85282

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/01
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
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 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 JORGE EAGAR
Signature Title DIRECTOR
Signature Date 3/15/18

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