FORM 1023-EZ for SERVANT LEADERS INTERNATIONAL INC

Field Data
EIN 81-3737244
Case Number EO-2016285-000143
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERVANT LEADERS INTERNATIONAL INC
Organization’s Mailing Address 8385 BARSTOW DRIVE
City FISHERS
State IN
ZIP 46038
Accounting period End 12
Primary contact name SETH WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAMERON WOOLFORD
PRESIDENT
5489 RAVINE RD
KALAMAZOO MI 49009

Officer/Director/Trustee Two

DAVID GRAEF
VICE PRESIDENT
2363 VICKSBURG COURT SE
KENTWOOD MI 49508

Officer/Director/Trustee Three

SAMUEL FROESE
SECRETARY
8385 BARSTOW DRIVE
FISHERS IN 46038

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
Organization’s purpose Charitable: No
Religious: Yes
Educational: Yes
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 No
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
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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