FORM 1023-EZ for THE LIFE HERO FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-3155912 |
| Case Number | EO-2019035-001025 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE LIFE HERO FOUNDATION |
| Organization’s Mailing Address | 9564 THORNECREST DRIVE |
| City | MECHANICSVILLE |
| State | VA |
| ZIP | 23116 |
| Accounting period End | 12 |
| Primary contact name | LA VERNE BURRUS JOHNSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LA VERNE BURRUS JOHNSON
PRESIDENT
9564 THORNECREST DRIVE
MECHANICSVILLE VA 23116
Officer/Director/Trustee Two
TIFFANY GREGORY
TREASURER
7624 ELMCREST RD
HANOVER MD 21076
Officer/Director/Trustee Three
STEPHANIE BACOTE
SECRETARY
6312 DALESHIRE DRIVE
N CHESTERFIELD VA 23234
Officer/Director/Trustee Four
KIMBERLY VANBUREN
VICE PRESIDENT
110611 LARCH GROVE COURT
HELOTES TX 78023
Officer/Director/Trustee Five
PARRISH JOHNSON
DIRECTOR
9564 THORNECREST DRIVE
MECHANICSVILLE VA 23116
| Organization’s website | |
|---|---|
| Organization’s email | IDANZEFITNESS@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/9/19 |
| Organization Incorporation State | VA |
| 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 | LA VERNE BURRUS JOHNSON |
| Signature Title | PRESIDENT |
| Signature Date | 1/15/19 |
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