FORM 1023-EZ for LIFERS INC

Field Data
EIN 82-1836571
Case Number EO-2017270-000219
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFERS INC
Organization’s Mailing Address 2002 ALEXANDER CIRCLE NE
City ATLANTA
State GA
ZIP 30326
Accounting period End 12
Primary contact name TIFFANY KIRK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIFFANY KIRK
CHAIR
2002 ALEXANDER CIRCLE NE
ATLANTA GA 30326

Officer/Director/Trustee Two

SHAWNA KING
SECRETARY
8632 THOMAS LANE
RIVERDALE GA 30274

Officer/Director/Trustee Three

JENNIFER DAVIS
TREASURER
855 GRIGGS ST N
SAINT PAUL GA 55104

Officer/Director/Trustee Four

KEILA ADAMS
CO-CHAIR
1901 PARKWOOD DRIVE APT 201
SOUTH SAINT PAUL MN 50575

Organization’s website
Organization’s email LIFERSPROGRAMATL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I21 - Delinquency Prevention
Organization’s purpose Charitable: No
Religious: No
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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