FORM 1023-EZ for GO SPEAK LIFE

Field Data
EIN 81-0963487
Case Number EO-2016139-000308
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GO SPEAK LIFE
Organization’s Mailing Address 1265 JEFFERSON STREET
City PACIFIC
State MO
ZIP 63069-3630
Accounting period End 12
Primary contact name JAMES BECKEMEIER OR SHABNAM NOURAIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN WELDON
DIRECTOR/PRESIDENT
1265 JEFFERSON STREET
PACIFIC MO 63069-3630

Officer/Director/Trustee Two

PAM WELDON
DIRECTOR/SECRETARY
1265 JEFFERSON STREET
PACIFIC MO 63069-3630

Officer/Director/Trustee Three

BRITTANY HILL
DIRECTOR
2024 MONTCLAIR DRIVE
FORT WORTH TX 76103

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2015
Organization Incorporation State MO
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: Yes
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 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
Signature Title
Signature Date

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