FORM 1023-EZ for LIFE COMMUNITY CENTER

Field Data
EIN 86-1526228
Case Number EO-2021093-000344
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFE COMMUNITY CENTER
Organization’s Mailing Address 3536 N 40TH AVE
City OMAHA
State NE
ZIP 68112
Accounting period End 12
Primary contact name TYLENA TUCKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TYLENA TUCKER
OWNER AND CEO
4134 WIRT STREET
OMAHA NE 68111

Officer/Director/Trustee Two

TNETHA TUCKER
DIRECTOR OF STRATEGIC PLANNING
3127 MAPLEWOOD BLVD APT 7
OMAHA NE 68134

Officer/Director/Trustee Three

DESTINEE ROSEMOND
DIRECTOR OF COMMUNICATION
2805 SOUTH 126TH PLAZA APT 10
OMAHA NE 68144

Officer/Director/Trustee Four

VERLYSSA OWENS
DIRECTOR OF CONCEPT DESIGN
3536 N 40TH AVE
OMAHA NE 68111

Organization’s website
Organization’s email LIFECOC2021@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2021
Organization Incorporation State NE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A27 - Community Celebrations
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 Yes
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 Yes
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TYLENA TUCKER
Signature Title OWNER AND CEO
Signature Date 2/28/2021

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