FORM 1023-EZ for FULL LIFE PROGRAMS

Field Data
EIN 45-4347833
Case Number EO-2014340-000277
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FULL LIFE PROGRAMS
Organization’s Mailing Address 3285 SE SAFE HARBOR
City CORVALLIS
State OR
ZIP 97333
Accounting period End 12
Primary contact name DAVID ATKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANNA SONTAG
PRESIDENT
3285 SE SAFE HARBOR
CORVALLIS OR 97333

Officer/Director/Trustee Two

KAREN LAWRENCE
TREASURER
4752 WENDOVER
EUGENE OR 97404

Officer/Director/Trustee Three

BERRY BROADBENT
SECRETARY
1627 CHARNELTON STREET
EUGENE OR 97401

Officer/Director/Trustee Four

HELEN COBLE
DIRECTOR
1690 TAYLOR STREET
EUGENE OR 97402

Officer/Director/Trustee Five

ELAINE PHILLIPS
DIRECTOR
446 CHERRY DRIVE
EDGEWATER MD 21037

Organization’s website FULLLIFEPROGRAMS.ORG
Organization’s email ANNA@FULLLIFEPROGRAMS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/29/2011
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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