FORM 1023-EZ for LIFE PURPOSE CENTER-RETROACTIVE REINSTATEMENT

Field Data
EIN 81-2672537
Case Number EO-2020027-000360
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFE PURPOSE CENTER-RETROACTIVE REINSTATEMENT
Organization’s Mailing Address 3553 ATLANTIC AVE 1200
City LONG BEACH
State CA
ZIP 90807
Accounting period End 12
Primary contact name KIM PERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIM PERSON
PRESIDENT
3553 ATLANTIC AVE 1200
LONG BEACH CA 90807

Officer/Director/Trustee Two

ELIJAH KIMBLE
TRESURER
3553 ATLANTIC AVE 1200
LONG BEACH CA 90807

Officer/Director/Trustee Three

ROSE DOUGLAS
SECRETARY
3553 ATLANTIC AVE 1200
LONG BEACH CA 90807

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
Organization’s purpose Charitable: Yes
Religious: No
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 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 KIM PERSON
Signature Title PRESIDENT
Signature Date 1/23/2020
EIN 81-2672537
Case Number EO-2016144-000125
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFE PURPOSE CENTER
Organization’s Mailing Address 4320 ATLANTIC AVE SUITE 125
City LONG BEACH
State CA
ZIP 90807
Accounting period End 12
Primary contact name KIM PERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIM PERSON
PRESIDENT
4320 ATLANTIC AVE SUITE 125
LONG BEACH CA 90807

Officer/Director/Trustee Two

OWEN DOUGLAS
VICE PRESIDENT
4320 ATLANTIC AVE SUITE 125
LONG BEACH CA 90807

Officer/Director/Trustee Three

LISA ROBERTS
SECRETARY
4320 ATLANTIC AVE SUITE 125
LONG BEACH CA 90807

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
Organization’s purpose Charitable: Yes
Religious: No
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 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
Signature Title
Signature Date

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