FORM 1023-EZ for VILLAGE LIFE INITIATIVE
| Field | Data |
|---|---|
| EIN | 81-2122723 |
| Case Number | EO-2018151-000158 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | VILLAGE LIFE INITIATIVE |
| Organization’s Mailing Address | 5005 MONTOYA AVE APT 18 |
| City | SAN PABLO |
| State | CA |
| ZIP | 94805-1049 |
| Accounting period End | 12 |
| Primary contact name | FRED PAYNE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
FRED PAYNE
PRESIDENT, EXECUTIVE DIRECTOR
5005 MONTOYA AVE APT 18
SAN PABLO CA 94805-1049
Officer/Director/Trustee Two
GEOFFREY THORPE
TREASURER
106 DONEGAL WAY
MARTINEZ CA 94553-6270
Officer/Director/Trustee Three
GRACE SMITH
SECRETARY
555 PIERCE ST APT 622
ALBANY CA 94706-1012
Officer/Director/Trustee Four
FELICIA CHAVEZ
DIRECTOR
170 ARROYO RD
FOREST KNOLLS CA 94933-208
Officer/Director/Trustee Five
CRYSTAL CHURA
DIRECTOR
4422 ALLEN ST
NEW ORLEANS LA 70122-3007
| Organization’s website | HTTPS://YOURVILLAGELIFE.ORG |
|---|---|
| Organization’s email | DIRECTOR@YOURVILLAGELIFE.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/4/16 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S20 - Community, Neighborhood Development, Improvement (General) |
| Organization’s purpose | Charitable: Yes Religious: No 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 | FRED PAYNE |
| Signature Title | PRESIDENT, EXECUTIVE DIRECTOR |
| Signature Date | 5/29/18 |
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