FORM 1023-EZ for NEW LIFE CONNECTIONS

Field Data
EIN 81-2095253
Case Number EO-2016098-000230
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW LIFE CONNECTIONS
Organization’s Mailing Address PO BOX 398
City ROACHDALE
State IN
ZIP 46172-0398
Accounting period End 12
Primary contact name AMBER D GREENE ATTORNEY AT LAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARL WATERMAN
EXECUTIVE DIRECTOR
1 E FOREST HOME ST PO BOX 398
ROACHDALE IN 46172-0398

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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