FORM 1023-EZ for LIFE MADE FOUNDATION

Field Data
EIN 85-1074696
Case Number EO-2020141-000296
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFE MADE FOUNDATION
Organization’s Mailing Address PO BOX 26093
City ST LOUIS PARK
State MN
ZIP 55426
Accounting period End 6
Primary contact name JENNIFER URBAN - CAF 0308-14263R
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEX MWESIGA
PRESIDENT & DIRECTOR
1345 IDAHO AVE S APT 104
ST LOUIS PARK MN 55426

Officer/Director/Trustee Two

ELISSA DALE
TREASURER & DIRECTOR
1345 IDAHO AVE S APT 104
ST LOUIS PARK MN 55426

Officer/Director/Trustee Three

CLEVERLINE NINSIIMA
SECRETARY & DIRECTOR
1393 CLEVELAND AVE N
ST PAUL MN 55108

Officer/Director/Trustee Four

NANGOLI JUDE ERIC
DIRECTOR
10 19TH ST SE
SPENCER IA 51301

Officer/Director/Trustee Five

SHARON KATO
DIRECTOR
338 CHRISTIAN ST
LOWELL MA 01850

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2020
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 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 ALEX MWESIGA
Signature Title PRESIDENT & DIRECTOR
Signature Date 5/18/2020

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