FORM 1023-EZ for LIFESAVERS MINISTRY

Field Data
EIN 84-4364764
Case Number EO-2020027-000486
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFESAVERS MINISTRY
Organization’s Mailing Address 610 FALCON ST APT 2
City PARK HILLS
State MO
ZIP 63601-2747
Accounting period End 12
Primary contact name CARRIE UNDERWOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN UNDERWOOD
PRESIDENT
610 FALCON ST
PARK HILLS MO 63601-2747

Officer/Director/Trustee Two

CARRIE UNDERWOOD
TREASURER
610 FALCON ST
PARK HILLS MO 63601-2747

Officer/Director/Trustee Three

BENJY PROFFER
VICE PRESIDENT
313 LANCEWOOD DR
PARK HILLS MO 63601-2013

Organization’s website WWW.LIFESAVERSMINISTRY.COM
Organization’s email LIFESAVERS.MINISTRY@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2020
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F22 - Alcohol, Drug Abuse, Treatment Only
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
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 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 BRIAN UNDERWOOD
Signature Title PRESIDENT
Signature Date 1/24/2020

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