FORM 1023-EZ for SHARED LIFE SERVICES INCORPORATED

Field Data
EIN 82-3097721
Case Number EO-2020255-000327
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHARED LIFE SERVICES INCORPORATED
Organization’s Mailing Address 2517 OAK BROOK DR
City BEDFORD
State TX
ZIP 76021-7225
Accounting period End 12
Primary contact name SARAH PACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM HALL
PRESIDENT DIRECTOR
2517 OAK BROOK DR
BEDFORD TX 76021-7225

Officer/Director/Trustee Two

LES VINES
TREASURER
2517 OAK BROOK DR
BEDFORD TX 76021-7225

Officer/Director/Trustee Three

KENNY THACKER
DIRECTOR
2517 OAK BROOK DR
BEDFORD TX 76021-7225

Officer/Director/Trustee Four

DAVID PRITCHARD
DIRECTOR
2517 OAK BROOK DR
BEDFORD TX 76021-7225

Officer/Director/Trustee Five

TIM CHAPMAN
DIRECTOR
2517 OAK BROOK DR
BEDFORD TX 76021-7225

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/2017
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TOM HALL
Signature Title PRESIDENT DIRECTOR
Signature Date 9/9/2020
EIN 82-3097721
Case Number EO-2018299-000024
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHARED LIFE SERVICES INCORPORATED
Organization’s Mailing Address 4331 E PROSPER TRAIL
City PROSPER
State TX
ZIP 75078-9174
Accounting period End 12
Primary contact name SARAH PACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TOM HALL
PRESIDENT DIRECTOR
4331 E PROSPER TRAIL
PROSPER TX 75078-9174

Officer/Director/Trustee Two

KERRY CAROTHERS
TREASURER
4331 E PROSPER TRAIL
PROSPER TX 75078-9174

Officer/Director/Trustee Three

KENNY THACKER
DIRECTOR
4331 E PROSPER TRAIL
PROSPER TX 75078-9174

Officer/Director/Trustee Four

DAVID PRITCHARD
DIRECTOR
4331 E PROSPER TRAIL
PROSPER TX 75078-9174

Officer/Director/Trustee Five

TIM CHAPMAN
DIRECTOR
4331 E PROSPER TRAIL
PROSPER TX 75078-9174

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/17
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
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 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 KERRY CAROTHERS
Signature Title TREASURER
Signature Date 10/24/18

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