FORM 1023-EZ for LIFEGATE SERVICES

Field Data
EIN 47-1965877
Case Number EO-2014293-000152
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFEGATE SERVICES
Organization’s Mailing Address 1300 10TH AVE NE
City ROCHESTER
State MN
ZIP 55906
Accounting period End 12
Primary contact name OYEWOLE DOSUMU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

OYEWOLE DOSUMU
PRESIDENT, DIRECTOR
816 50TH AVE NW
ROCHESTER MN 55901

Officer/Director/Trustee Two

KAREN MEYER
SECRETARY, DIRECTOR
5116 25TH AVE NW
ROCHESTER MN 55901

Officer/Director/Trustee Three

LINDA OLOYEDE
TREASURER, DIRECTOR
4317 13TH AVE NW
ROCHESTER MN 55901

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
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 No
One Third Support Gifts Yes
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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