FORM 1023-EZ for AMPLIFYLIFE
| Field | Data |
|---|---|
| EIN | 81-4999467 |
| Case Number | EO-2017102-000162 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | AMPLIFYLIFE |
| Organization’s Mailing Address | 117 SOUTH LEXINGTON STREET STE 100 |
| City | HARRISONVILLE |
| State | MO |
| ZIP | 64701 |
| Accounting period End | 12 |
| Primary contact name | DANIEL DEFONCE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MARCUS MCCULLOUGH
PRESIDENT FOUNDER
2860 OHIO AVE
SAINT LOUIS MO 63118
Officer/Director/Trustee Two
DANIEL DEFONCE
VICE PRESIDENT CO-FOUNDER
117 SOUTH LEXINGTON STREET STE 100
SAINT LOUIS MO 64701
Officer/Director/Trustee Three
MARY LEE SALZER
TREASURER
117 SOUTH LEXINGTON STREET STE 100
SAINT LOUIS MO 64701
Officer/Director/Trustee Four
ERIC FIEDLER
SECRETARY
117 SOUTH LEXINGTON STREET STE 100
SAINT LOUIS MO 64701
Officer/Director/Trustee Five
CHRIS DAVIS
DIRECTOR
117 SOUTH LEXINGTON STREET STE 100
SAINT LOUIS MO 64701
| Organization’s website | AMPLIFYLIFE.NET |
|---|---|
| Organization’s email | INFO@MPLIFYLIFE.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/27/2017 |
| Organization Incorporation State | MO |
| 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: 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 | 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 | 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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