FORM 1023-EZ for UNIVERSAL LIFELINE FOUNDATION

Field Data
EIN 81-4359511
Case Number EO-2019099-000160
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNIVERSAL LIFELINE FOUNDATION
Organization’s Mailing Address 204 WEST SPEAR STREET
City CARSON CITY
State NV
ZIP 89703-4160
Accounting period End 12
Primary contact name DAWN CARUSO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN CARUSO
TRUSTEE FIRST
2 JOCKEY TERRACE NORTH
COLTS NECK NJ 7722-1582

Officer/Director/Trustee Two

STEVEN CARUSO
TRUSTEE SECOND
2 JOCKEY TERRACE NORTH
COLTS NECK NJ 7722-1582

Officer/Director/Trustee Three

JORDAN GLASS
TRUSTEE THIRD
124 RANDOLPH ROAD
WHITE PLAINS NY 10607-1517

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/16
Organization Incorporation State NV
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: Yes
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAWN CARUSO
Signature Title TRUSTEE FIRST
Signature Date 4/7/19

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