FORM 1023-EZ for LIFEWORTH INC

Field Data
EIN 47-2481799
Case Number EO-2017299-000463
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFEWORTH INC
Organization’s Mailing Address 356 SOUTH HILL DR
City WAXAHACHIE
State TX
ZIP 75165
Accounting period End 12
Primary contact name ROBERT PARKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT PARKS
PRESIDENT
356 SOUTH HILL DR
WAXAHACHIE TX 75165

Officer/Director/Trustee Two

BROOKE PARKS
TREASURER
356 SOUTH HILL DR
WAXAHACHIE TX 75165

Officer/Director/Trustee Three

JASON MARTIN
CHAIRMAN OF THE BOARD
3507 WOODMONT LN
NASHVILLE TN 37215

Officer/Director/Trustee Four

JAKE JONES
OFFICER
PO BOX 910
SAPULPA OK 74067

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2014
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
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 No
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 47-2481799
Case Number EO-2016221-000240
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFEWORTH INC
Organization’s Mailing Address PO BOX 703154
City TULSA
State OK
ZIP 74170
Accounting period End 12
Primary contact name DAN BEIRUTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT PARKS
PRESIDENT
PO BOX 703154
TULSA OK 74170

Officer/Director/Trustee Two

BROOKE PARKS
SECRETARY TREASURER
PO BOX 703154
TULSA OK 74170

Officer/Director/Trustee Three

JASON MARTIN
DIRECTOR
PO BOX 703154
TULSA OK 74170

Officer/Director/Trustee Four

JAKE JONES
DIRECTOR
PO BOX 703154
TULSA OK 74170

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2014
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 Yes
Donation of funds No
Conducting Activities Outside of United States Yes
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

Recently Saved Organizations

Click on the save icon from a search results or organization page.