FORM 1023-EZ for LIFE CHURCH

Field Data
EIN 46-2569318
Case Number EO-2014279-000307
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFE CHURCH
Organization’s Mailing Address 1081 WANTAGH AVE
City WANTAGH
State NY
ZIP 11793
Accounting period End 12
Primary contact name BRYAN GRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRYAN GRAY
LEAD MINISTER
1317 CHELSEA RD
WANTAGH NY 11793-2111

Officer/Director/Trustee Two

ROGER WINE
SENIOR MINISTER
531 15TH STREET
WEST BABYLON NY 11796-9996

Organization’s website WWW.LIFECHURCHLI.COM
Organization’s email INFO@LIFECHURCHLI.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/2013
Organization Incorporation State NY
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 Yes
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 Yes
One Third Support Public No
One Third Support Gifts Yes
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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