FORM 1023-EZ for NEW LIFE HOUSE

Field Data
EIN 82-0713444
Case Number EO-2017135-000013
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW LIFE HOUSE
Organization’s Mailing Address PO BOX 266
City WAYLAND
State IA
ZIP 52654
Accounting period End 12
Primary contact name CONNIE FREYENBERGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CONNIE FREYENBERGER
PRESIDENT
1049 BENTON AVENUE
WAYLAND IA 52654

Officer/Director/Trustee Two

JON WENGER
TREASURER
1522 170TH STREET
MOUNT PLEASANT IA 52641

Officer/Director/Trustee Three

KEVAN ZECHIN
VICE PRESIDENT
704 SOUTH JACKSON STREET
MOUNT PLEASANT IA 52641

Officer/Director/Trustee Four

ANITA SWARTZENDRUBER
SECRETARY
305A WEST MEYER PLACE
WAYLAND IA 52654

Officer/Director/Trustee Five

TAMARA GILL
DIRECTOR
PO BOX 266
WAYLAND IA 52654

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/2016
Organization Incorporation State IA
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: 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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