FORM 1023-EZ for LIFT FOR LIFE

Field Data
EIN 84-1793322
Case Number EO-2019148-000226
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFT FOR LIFE
Organization’s Mailing Address 8584 KATY FREEWAY SUITE 103
City HOUSTON
State TX
ZIP 77024
Accounting period End 12
Primary contact name KENNETH ZIMMERN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENNETH ZIMMERN
PRESIDENT/SECRETARY
8584 KATY FWY SUITE 103
HOUSTON TX 77024

Officer/Director/Trustee Two

JUSTIN BOHANNON
DIRECTOR
3912 KENTER CROSSING
AUSTIN TX 78728

Officer/Director/Trustee Three

JAMES BARNARD
DIRECTOR
6124 SILKCREST TRAIL
ARLINGTON TX 76017

Officer/Director/Trustee Four

X X
X
X
X TX 99999

Officer/Director/Trustee Five

X X
X
X
X TX 99999

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KENNETH ZIMMERN
Signature Title PRESIDENT/SECRETARY
Signature Date 5/23/19

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