FORM 1023-EZ for LIFE INTERNATIONAL INC

Field Data
EIN 83-2775988
Case Number EO-2019028-000047
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFE INTERNATIONAL INC
Organization’s Mailing Address 11 VINSON CIR
City WINCHESTER
State MA
ZIP 1890-3217
Accounting period End 1
Primary contact name HERMAN P CHANG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMANTHA CHANG
PRESIDENT
11 VINSON CIR
WINCHESTER MA 1890-3217

Officer/Director/Trustee Two

ETHAN CHANG
TREASURER
11 VINSON CIR
WINCHESTER MA 1890-3217

Officer/Director/Trustee Three

HERMAN CHANG
CLERK
11 VINSON CIR
WINCHESTER MA 1890-3217

Officer/Director/Trustee Four

SARAH KWOK
DIRECTOR
48 UPLAND ROAD WEST
ARLINGTON MA 2474-1018

Officer/Director/Trustee Five

SHARLENE YI
DIRECTOR
192 CROSS STREET
WINCHESTER MA 1890-1118

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/18
Organization Incorporation State MA
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: 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 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 HERMAN CHANG
Signature Title CLERK
Signature Date 12/13/18

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