FORM 1023-EZ for LIFE 180 INC

Field Data
EIN 85-1636735
Case Number EO-2020207-000018
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFE 180 INC
Organization’s Mailing Address 107 NORTH GREENWOOD AVENUE SUITE L
City TULSA
State OK
ZIP 74120
Accounting period End 12
Primary contact name LATOYA SHUMATE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATOYA SHUMATE
EXECUTIVE DIRECTOR
1827 NORTH BOSTON AVENUE
TULSA OK 74120

Officer/Director/Trustee Two

KENYA DENNIS
TREASURER
107 NORTH GREENWOOD AVENUE
TULSA OK 74120

Officer/Director/Trustee Three

ASHLEE DORSEY
SECRETARY
3717 NORTH HARTFORD AVENUE
TULSA OK 74126

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/2020
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 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 LATOYA SHUMATE
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/22/2020

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