FORM 1023-EZ for SAVE A LIFE INC

Field Data
EIN 47-5207693
Case Number EO-2015337-000042
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAVE A LIFE INC
Organization’s Mailing Address 2201 VAIL WAY
City LAWRENCE
State KS
ZIP 66047-2343
Accounting period End 12
Primary contact name ROSINA M HOULE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROSINA HOULE
DIRECTOR, PRESIDENT
2201 VAIL WAY
LAWRENCE KS 66047-2343

Officer/Director/Trustee Two

DEBBIE GUNSELMAN
DIRECTOR
2913 YELLOWSTONE DR
LAWRENCE KS 66047-2727

Officer/Director/Trustee Three

JOHN ESCALADA
DIRECTOR
9840 ABERDEEN DR
LEAWOOD KS 66206-2241

Officer/Director/Trustee Four

BOB BLOOM
DIRECTOR
4040 W 14TH ST
LAWRENCE KS 66049-3525

Officer/Director/Trustee Five

CHRISTINA PEREZ
DIRECTOR
2319 N KANSAS AVE
LIBERAL KS 67901-2368

Organization’s website HTTP://SAVEALIFEKS.ORG/
Organization’s email RHOULE@SAVEALIFEKS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/2015
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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