FORM 1023-EZ for LIFE LINE COMMUNITY CENTER

Field Data
EIN 35-1841286
Case Number EO-2016266-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFE LINE COMMUNITY CENTER
Organization’s Mailing Address 743 NORTH HOLMES AVE
City INDIANAPOLIS
State IN
ZIP 46222
Accounting period End 6
Primary contact name ERMIL D THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERMIL THOMPSON
DIRECTOR
134 S SHERIDAN
INDIANAPOLIS IN 46229

Officer/Director/Trustee Two

DANA ROBINSON
DIRECTOR OF ADMINISTRATION
2180 YORSHIRE COURT
INDIANAPOLIS IN 46226

Officer/Director/Trustee Three

CURTIS STORY
FIANCE SECRETARY
6133 ROSELAWN
INDIANAPOLIS IN 46235

Officer/Director/Trustee Four

PATRICIA CATES
BOARD MEMBER
10005 LONEWOLF
INDIANAPOLIS IN 46235

Officer/Director/Trustee Five

ARTHUR RUSH
BOARD MEMBER
3700 TIFFANY DRIVE
INDIANAPOLIS IN 46235

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/20/1996
Organization Incorporation State IN
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: 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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