FORM 1023-EZ for LIFECIPHER 360 INC

Field Data
EIN 84-3352288
Case Number EO-2021141-000731
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFECIPHER 360 INC
Organization’s Mailing Address 459 EAST 52 STREET 2F
City BROOKLYN
State NY
ZIP 11203
Accounting period End 12
Primary contact name ELI LAWRENCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TYRONE LAWRENCE
PRESIDENT
459 EAST 52 STREET 2F
BROOKLYN NY 11203

Officer/Director/Trustee Two

ELI LAWRENCE
VICE PRESIDENT
459 EAST 52 STREET 2F
BROOKLYN NY 11203

Officer/Director/Trustee Three

SHERIMA BROOKS
SECRETARY
821 EAST 160TH STREET 2
BRONX NY 10459

Officer/Director/Trustee Four

DIONNE MANUEL
TREASURER
459 EAST 52 STREET 2F
BROOKLYN NY 11203

Officer/Director/Trustee Five

DARRELL MANUEL
BOARD MEMBER
459 EAST 52 STREET 2F
BROOKLYN NY 11203

Organization’s website WWW.LIFECIPHER360.COM
Organization’s email LIFECIPHER360@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2018
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ELI LAWRENCE
Signature Title VICE PRESIDENT
Signature Date 5/19/2021

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