FORM 1023-EZ for LIFE LINE MISSIONS

Field Data
EIN 81-1596787
Case Number EO-2016341-000223
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFE LINE MISSIONS
Organization’s Mailing Address 10630 EAST COUNTY ROAD 250 SOUTH
City VELPEN
State IN
ZIP 47590
Accounting period End 6
Primary contact name AMANDA D HADLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL HADLEY
PRESIDENT OFFICER
10630 E COUNTY RD 250 S
VELPEN IN 47590

Officer/Director/Trustee Two

AMANDA HADLEY
VICE PRESIDENT SECRETARY
10630 E COUNTY RD 250 S
VELPEN IN 47590

Officer/Director/Trustee Three

LORRAINNE SHELLEY PATTERSON
TREASURER
3259 GRASSLAND HILLS RD
JASPER IN 47546

Officer/Director/Trustee Four

SCOTT LOFTON
BOARD MEMBER AT LARGE
1321 W MAGNOLIA STREET
JASPER IN 47546

Officer/Director/Trustee Five

RHEA TURNER
BOARD MEMBER AT LARGE
6057 N COUNTY RD 200 E
PETERSBURG IN 47567

Organization’s website
Organization’s email LIFELINEMISSIONSINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/6/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance Yes
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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